Routine inspection·September 27, 2022

Licensing Program Analyst (LPA) Nacole Patterson visited the facility to conduct an annual required licensing inspection. LPA was granted entry into the facility by Metodija Boskoski, to whom the purpose of the visit was disclosed. Administrator Aleksandar Boskoski arrived at the facility during the visit. During today's visit, LPA toured the facility and was accompanied by Metodija Boskoski. LPA verified compliance with infection control practices. LPA observed one central entry point for universal entry screening; temperature check initiated at entry for staff, residents, and visitors; a sign-in policy enacted for visitors; signs in the facility to promote hand hygiene, cough/sneeze etiquette, symptom and transmission awareness; face covering worn by staff; hand sanitizer/hand washing stations readily available; available visitation area; emergency agencies’ contact information visible to staff; and an ample supply of cleaning products. During today’s visit, LPA Patterson discovered that Staff 1 (S1) [LIC 811 Confidential Names List was provided to identify the staff], who was present and observed working at the facility at the time of the visit, had been working in the facility for two (2) days, from 9/26/22 to 9/27/22, without a current criminal background clearance or exemption. A civil penalty in the amount of $200 was issued on form LIC 421-BG, for allowing a person who is subject to a background check and requires a criminal record clearance to work in the facility without first obtaining required criminal background clearance or exemption. Civil penalties in the amount of $100 per day per citation will continue to accrue until the deficiency is corrected. A deficiency is cited pursuant to Title 22, Division 6, Chapter 8 of the California Code of Regulations and is listed on an LIC 809-D. This report was discussed with Administrator Aleksandar Boskoski. A copy of this report, LIC 421-BG, and licensee appeal rights were provided to him at the conclusion of the visit.