Routine inspection·December 27, 2022

Licensing Program Analyst (LPA) Victoria Chitgian made an unannounced visit to the facility. The purpose of the visit was to conduct a required annual inspection, with an emphasis on infection control due to the COVID-19 pandemic. LPA met with Licensee Adelaida Badillo. At the time of the visit there were four (4) staff, and six (6) residents present. During today's visit, LPA toured the facility and made observations pertaining to the facility's infection control measures. LPA observed sufficient signage throughout the facility, sufficient hand hygiene supplies, sufficient cleaning and disinfecting provisions. The facility has a designated infection control lead person who has been tasked with tracking all COVID-19 cases and/or suspected cases, PPE supplies are sufficient, cleaning and disinfection provisions are in adequate quantities, and that staff are trained in the proper use and disposal of PPE and 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 residents for COVID-19, when and how to isolate/quarantine residents, and when to schedule cleaning and disinfection times of high traffic and frequently touched areas. The facility also has a plan in place to monitor residents regularly for any changes in condition and to subsequently notify the residents physician and to notify all emergency agencies in the event of any COVID-19 related and/or suspected illnesses. During the tour of the facility, LPA found that the garage was converted into an office room/staff area that includes office table, a couch, end table, lamp, daybed and chairs. The facility sketch floor plan has the garage labeled as a garage not a break or office room. Converting the garage into a break or office room poses a potential health, safety, or personal rights risk to persons in care. The facility will be issued a type B deficiency. LPA took pictures of the converted staff room in the garage. Based on the observations made during today’s visit, one (1) deficiencies was cited per Title 22, Division 6, of the California Code of Regulations. An exit interview was conducted, and this report (LIC809), LIC809D form, and the appeal rights were discussed and provided to Licensee Adelaida Badillo.