Routine inspection·November 4, 2022

Licensing Program Analyst (LPA) Ryan Gardner 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 Administrator Najeh Hamed and was granted entry to the facility. At the time of the visit there were four (4) staff, and twelve (12) residents present. LPA toured the facility inside and out and went over COVID-19 best practices for infection control and prevention with Najeh Hamed. The facility has a plan in place which follows Community Care Licensing Division guidelines for COVID-19 testing, isolating residents and properly caring for residents with COVID-19 positive results and/or exposures. The facility has a designated infection control lead person who has been tasked with tracking all COVID-19 cases and/or suspected cases, ensuring PPE supplies are maintained, cleaning and disinfection provisions are in adequate quantities, and that staff are trained in the proper use and disposal of PPE. The entrance of the facility has a check in process for staff and visitors that includes a temperature and symptom check. The facility has hand sanitizer available and the bathrooms were stocked with hand soap and paper towels. Postings were seen throughout the facility for proper cough etiquette, proper hand washing procedure, and social distancing guidelines. LPA requested to inspect the facility's Personal Protective Equipment (PPE) supply, which was located in the hall closet. The facility has a supply of PPE items such as gloves, gowns, disinfectant, surgical masks, and hand sanitizer. The facility was informed they need to obtain a supply of N95 masks. All staff and residents are practicing COVID-19 precautions, which minimize the risk of them contracting COVID-19. During today’s visit, LPA found that Staff(S1) has been working at the facility for four (4) years without a criminal background clearance which poses an immediate health, safety, or personal rights risk to persons in care. The facility will be issued a type A deficiency and a $500-dollar civil penalty. During todays visit, LPA found that the residents centrally stored prescription medications were removed from the original received containers and were being stored in plastic weekly containers which poses an immediate health, safety, or personal rights risk to persons in care. The facility will be issued a type A deficiency. LPA took pictures of the medication stored in the plastic weekly containers. Based on the observations made during today’s visit, two (2) deficiencies were cited per Title 22, Division 6, of the California Code of Regulations. An exit interview was conducted, and this report (LIC809), LIC809D, LIC811, LIC421BG, LIC9102, and appeal rights were discussed and provided to Najeh Hamed.