Routine inspection·November 2, 2021

Licensing Program Analyst (LPA) Stephanie Williams conducted 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 Williams identified herself to Administrator, Bryant Saldivar and discussed the purpose of the visit. LPA Williams was asked to sign-in and provide temperature reading upon arrival. Saldivar confirmed that there are currently no cases/exposures of COVID-19 within the facility. During the inspection, LPA Williams conducted a tour of the facility and made observations pertaining to the facility's infection control measures and other health and safety concerns. LPA Williams observed appropriate postings throughout the facility, including COVID-19 symptoms postings and face coverings postings. The facility was also equipped with sufficient hand hygiene supplies, sufficient cleaning/disinfecting provisions, and a supply of Personal Protective Equipment (PPE). LPA Williams observed that one facility staff member was not wearing a face covering. 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 facility's infection control measures. 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 also has a plan in place to monitor residents regularly for any changes in condition and to subsequently notify the resident's physician and emergency personnel in the event the resident presents any COVID-19 symptoms. Based on observations made during today’s inspection, two deficiencies were cited per Title 22, Division 6, of the California Code of Regulations. LPA Williams observed that two portable gates were obstructing the facility's hallway passageway where resident bedrooms are located. LPA Williams also observed that two exterior gates where equipped with a padlock without proper fire clearance. LPA Williams also issued two technical violations for Reporting Requirements & Maintenance and Operation. The Administrator confirmed that the facility did not provide the Department with COVID-19 Mitigation Plan (LIC 808) LPA Williams also observed that one staff member was not wearing a face covering upon arrival to the facility. An exit interview was conducted where this report was discussed and a copy was provided to Saldivar at the conclusion of the inspection.