Routine inspection·June 13, 2022

Licensing Program Analyst (LPA) Murial Han conducted an unannounced annual required inspection. LPA was greeted by caregiver, Luzviminda Madraga and explained the purpose of the visit. LPA was screened by staff. LPA reviewed the daily visitor, staff and resident screening logs and observed the logs are not being completed on a daily basis. Based on the visitor's COVID-19 screening logs, there were some visitors who signed in and out on the sign-in and out logs but they were not screened. In addition, based on the daily staff and resident's COVID-19 screening logs, there were missing documentation from April and May, 2022. LPA discussed this finding with facility staff who acknowledged that there were missing documentation. LPA proceed with the tour of the facility provided by caregiver beginning in the 2nd floor dining room and observed 1 long table against the wall and chairs. The kitchen observed to be neat, and tidy. COVID-19 Infection Control signs are posted in the 1st and the 2nd floor dining rooms. Hand washing stations were equipped with paper supplies, liquid soap and hand-washing signs posted. LPA observed adequate PPE supplies. . The facility has an indoor and outdoor designated visitation area. Trash bins were observed to have closed lids. The bed rooms were observed to be furnished per Title 22 regulations. Beds were spaced at least 6 feet apart. Food supply was checked and observed to be sufficient. The medication storage was locked and inaccessible to residents. First aid kit was sufficient. Deficiencies of the RCFE California Code of Regulations, Title 22 is cited on LIC809D Failure to correct the deficiencies may result in civil penalties. During today's visit, the assistant administrator was present during partial of the inspection as he/she had to leave and assist a resident with a medical appointment. Therefore, This report is reviewed, discussed with caregiver, Luz Magdraga. A copy of this report is provided.