Routine inspection·March 29, 2022

Licensing Program Analyst (LPA) Stephanie Williams conducted an unannounced visit to the facility in order to conduct a required annual inspection, with an emphasis on infection control, due to the COVID-19 pandemic. LPA Williams identified herself to Administrator, Mayleen Saludez, who was also informed of the purpose of the visit. During the inspection, LPA Williams interviewed Saludez regarding the facility's infection control measures and inspected the facility for regulatory compliance. LPA Williams observed appropriate postings in the facility, including COVID-19 symptoms postings and visitation policies, which were in accordance with the Department's guidelines. LPA Williams observed that 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 the facility staff were wearing face coverings. The facility has a designated infection control lead person who has been tasked with tracking all COVID-19 cases and/or suspected cases 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, isolation, and properly caring for clients 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. The administrator confirmed that the facility staff have not been fit tested with N-95 respirators per CalOSHA requirements. Furthermore, LPA Williams inspected the facility for regulatory compliance. LPA Williams observed that all utilities and appliances were functioning properly and all passageways clear of obstruction, including emergency exits. The facility was equipped with sufficient food supply and emergency supplies. All areas of the facility, including client bedrooms and restrooms, appeared clean and in good repair. LPA Williams observed that knives/sharps were kept inaccessible to clients in care; however, LPA Williams did observe several cleaning supplies and over-the-counter medication, which belonged to staff members, accessible to residents in care. Based on interviews and observations made during today’s inspection, one deficiency was cited per Title 22, Division 6, of the California Code of Regulations. One Technical Advisory was also issued for infection control requirements. An exit interview was conducted where this report was discussed and a copy of this report was provided to Saludez at the conclusion of the inspection.