Routine inspection·October 27, 2022

On 10/27/2022, Licensing Program Analyst (LPA) Cassie Yang arrived at the facility unannounced to conduct a Required 1-yr inspection. LPA spoke with Licensee, Dina Biscos and explained purpose of inspection. Prior to initiating today's inspection, LPA completed required COVID-19 testing protocols, completed a daily self-screening questionnaire for symptoms of COVID-19 infection to affirm no COVID-19 related symptoms. Additionally, LPA was screened per Covid-19 precautionary measures upon entering the community. LPA confirmed there are no residents or staff with a confirmed case or signs/symptoms or Covid. LPA ensured she applied hand sanitizer before entering the facility and the following Personal Protective Equipment (PPE) was worn: surgical mask. When LPA arrived at the facility, LPA observed Licensee taking R1 to the car. LPA was informed R1 had a doctor's appointment. LPA then contacted Administrator, Mariana Oltean, who arrived shortly to the facility. LPA and Licensee then toured the interior of the facility together. Rooms toured include (3) private residents bedrooms, (2) vacant bedrooms, (1) visitor's bedroom, (1) private bathroom, (1) shared bathroom, laundry room, kitchen, garage and common areas. LPA observed a bottle of hydroperoxide to be located on the shelf of R1's private bathroom. Licensee also informed LPA that R1 has dementia. LPA observed a room to be occupied by an individual that Licensee confirmed is not fingerprinted. Licensee informed LPA that S1 has been at the facility for a few days. LPA observed medications for R2 to be pre-poured for greater than 24 hours. LPA observed S2 to be present, going up stairs and downstairs and into the kitchen without a face mask. LPA observed the facility to have 2+ day of perishables and 7+ days of non-perishables. LPA observed facility to have ample supply of PPE. LPA informed Licensee shared bathrooms needs to have paper towels. LPA informed Licensee fire extinguishers will need to be serviced every year, it was observed to be last serviced 09/13/2021. Please continue on LIC 809-C... Continued from LIC 809... LPA observe the Administrator Certificate to be pending on CDSS website. LPA and Licensee completed the infection control domain and deficiencies were observed. Please see the attached LIC 9102, LIC 809-Ds and LIC 421BG. Additionally, LPA requested copies of LIC 500, LIC 308, and current liability insurance to be emailed to LPA by Friday November 4, 2022. Exit interview conducted and a copy of report and appeal rights was left at the facility.