Routine inspection·August 9, 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 Gardner met with Administrator Michael Garcia and was granted entry to the facility. At the time of visit there were twelve (12) staff, and seventy-five (75) residents present. LPA Gardner toured the facility inside and out and went over COVID-19 best practices for infection control and prevention with Michael Garcia. The facility has a plan in place which follows Community Care Licensing Division guidelines for COVID-19 testing, isolating/quarantining 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 visitors that includes a vaccination verification/negative COVID test check, a temperature check, and a symptom check. The residents have hand sanitizer available to them throughout the facility, and the bathrooms were stocked with hand soap and paper towels. The facility has postings throughout the facility for proper cough etiquette, proper hand washing procedure, and/or social distancing guidelines. LPA Gardner requested to inspect the facility's Personal Protective Equipment (PPE) supply, which was located in the storage closet. The facility has a thirty (30) day supply of PPE Items such as gloves, face shields, gowns, surgical masks, disinfectant, and hand sanitizer. The facility was notified they need to obtain a full thirty (30) day supply of N95 masks. The facility will be issued a Technical Advisory note for not having a full thirty (30) day supply of N95 masks All residents and staff are practicing all other COVID-19 precautions, which minimize the risk of them contracting COVID-19. During today’s visit, LPA Gardner found that a Staff (S1) has been working at the facility for four (4) months without a criminal record clearance. The facility will be issued a citation and issued a $500-dollar civil penalty for allowing S1 to work at the facility without a criminal record clearance. LPA Gardner also found expired peanut butter, expired soup base chicken, and expired sauerkraut in the kitchen pantry. The facility will be issued a citation for having expired food in the pantry. 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 was discussed and provided to Administrator Michael Garcia, along with a copies of the two (2) LIC-809D forms, LIC-421BG form, LIC-811 form, LIC-9102 form, and a copy of the appeal rights.