Routine inspection·October 24, 2022

Licensing Program Analyst (LPA), Chinwe Nwogene made an unannounced visit to the facility to conduct an annual inspection focused on infection control. LPA was greeted and granted entry by Administrator, Victoria Matic who was informed of the purpose of the visit. Victoria called Licensee representative, Ali Naghibi who arrived at the facility shortly after. At the time of visit there was 2 staff and 6 residents present. The facility currently has zero positive or suspected Covid-19 cases. During today's visit, LPA toured the facility inside and out with Victoria and made observations regarding the infection control measures that the facility has implemented. LPA observed Covid-19 postings posted throughout the facility. The facility has an adequate amount of hand hygiene supplies (soap, hand sanitizer and paper towels) in all restrooms. The facility has a plan in place to monitor residents regularly for any changes in condition, which includes daily temperature checks. The Facility will contact the resident's physician should there be any event of COVID-19 related illnesses. The facility has a designated infection control lead. The facility also cleans and disinfects the highly touched surfaces during each shift, and as needed. LPA observed PPE supplies. During the tour of the kitchen LPA observed a knife and scissors on top of the microwave on the kitchen counter. Victoria immediately locked up the knife and made the knife inaccessible to residents . LPA was informed by administrator, Victoria that facility has dementia residents. Deficiency will be cited. Therefore, based on the observations made during today’s visit, one #1 deficiency was cited per Title 22, Division 6 of the California Code of Regulations. See LIC 809D. An exit interview was conducted, and this reported was provided along with appeal rights to Ali Naghibi.