Routine inspection·December 6, 2021

Licensing Program Analysts (LPAs) Melody Brown and Bernadette Allen made an unannounced visit to the facility to conduct an annual inspection, with emphasis on infection control. LPAs were greeted and granted entrance by caregivers Maria Gitau and Laura Hutson and LPAs explained the purpose of today's visit. Administrator Sandy Zhao was contacted and informed of the facility visit but Administrator Zhao reported that she was unable to go to the facility for the inspection. Caregiver Hutson accompanied LPAs Brown and Allen on a tour of the inside and outside of the facility. During today’s visit, LPAs Brown and Allen made observation pertaining to the facility’s current infection control measures. LPAs Brown and Allen observed a screening area, proper signages throughout the facility, sufficient hand hygiene supplies, cleaning supplies, and a sufficient supply of Personal Protective Equipment (PPE). The facility has a designated infection control lead person who has been tasked with tracking all COVID-19 cases and/or suspected cases, cleaning and disinfection are in adequate quantities, and that staff are trained in overall infection control. The facility has a plan in place which follows Community Care Licensing guidelines for when and how long to test staff and clients for COVID-19, when and how to isolate/quarantine resident, and when to schedule cleaning and disinfection times of high traffic and frequently touched areas/surfaces. The facility also has a plan in place to monitor resident regularly for any changes in condition and to subsequently notify the resident’s physician and to notify all emergency agencies in the event of any COVID-19 related and/or suspected illnesses. Throughout today's inspection, LPAs Brown and Allen observed and found out that caregivers S2 and S3 were not fingerprinted or cleared. Administrator Zhao was contacted, and she confirmed that her two (2) caregivers S2 and S3 were not fingerprinted. LPAs Brown and Allen will be issuing a citation since the licensee/administrator failed to ensure that S2 and S3 were fingerprinted and associated to the facility prior to employment. An exit interview was conducted with caregiver Brandon Marquez and a copy of this report (LIC 809), LIC809D, LIC421 BG and Appeal Rights were provided.