Routine inspection·August 24, 2022

On 8/24/2022, Licensing Program Analyst(LPA) Murial Han and Co-Worker Kevin Gaines conducted an unannounced annual inspection. LPA observed COVID-19 signs around the facility. LPA was greeted by the administrator, Janet Spires. LPA explained the purpose of the visit and LPA was screened at the front entrance. LPA toured facility and grounds. No accessible bodies of water or fire safety hazards observed. Infection control practices are reviewed: entry procedures, resident and staff daily monitoring records reviewed and observed residents are completed on a daily basis and staff are completed but facility needs to be more consistent with the documentation. PPE supply and the environmental cleaning supply are adequate; bathrooms are equipped with soap and paper towels, and hand washing instruction is posted by the hand washing stations. Signs are posted through-out the facility. Trash cans are observed to have foot operated lids. All beds are at least 6" apart from each other. Facility has designated a staff member to care for residents who are in quarantine/isolation. Medications, toxins and sharps are stored appropriately and inaccessible to clients, a comfortable temperature is maintained, lighting is sufficient for comfort and safety and food supply was checked and observed to be sufficient. First-aid kits are inspected and complete. There are 5 residents, 4 staff members, and the administrator present during the inspection. During today's inspection, LPA requested for a copy of the current administrator certification, however, the administrator acknowledged that it was expired and will start the renewal process soon. Based on observation, and interview, this deficient is cited under California Code of Regulations, Title, 22 cited LIC 809D. Failure to correct the deficiencies may result in civil penalties. This report is reviewed and discussed with the Administrator and a copy is provided.