Post-licensing visit·August 2, 2022

On 8-2-22 at 10:13am, Licensing Program Analyst ( LPA) Michael Bilger arrived at this facility unannounced to conduct a post licensing visit.. LPA was greeted by Administrator Orchid Damrichob and LPA explained the purpose of the visit. Upon entry, it was observed that Staff1 (S1) was not wearing a face mask. Additionally, based on interview, it was determined that Staff2 (S2) contracted COVID which has not yet been reported to Licensing department. LPA Bilger inspected the physical plant including but not limited to the kitchen, dining room, resident bedrooms; resident bathrooms, laundry room, living area, common TV area, and outside backyard of the facility to ensure compliance with Title 22 regulations. Facility is a 6-bed residential care facility for the elderly with a current census of 6. LPA was screened upon entry for temperature and asked to sign in. COVID screening questions were asked prior to entry. Facility has 3 bedrooms and 2 bathrooms. There is a formal living room and family/TV room for residents. All knives, toxins, and other chemicals were inaccessible to residents in care. "See something, Say something" poster was in place. Resident rights and rights of resident council notices posted. Emergency disaster plan and facility sketch updated and posted. The facility has submitted a COVID mitigation plan. The facility has central entry point and has implemented screening and sign in procedures at the front door area. The facility conducts routine symptom screening for employees, residents, and visitors. LPA observed the facility to have hand washing, COVID - 19 informational, and social distancing signs posted throughout the facility, on the front door, and back yard. The facility has a designated infection control lead. The facility is able to designate and dedicated a Covid-19 room/bathroom if needed. Common touch surfaces are cleaned after each use. Refrigerator temperature measured at 40*F. Freezer temperature measured at 0*F. Water temperature reads between 105*F and 120*F in the bathrooms and room temperature reads 74*F. LPA observed the facility to have adequate food supply. Resident rooms were sanitary and had the required furniture and furnishings. The facility common areas were clean and furnished. Smoke and carbon detectors were in good repair. Facility has an emergency food and water kit. Fire extinguisher is fully charged and dated 2/11/22. Administrator certificate expires 2/28/2024. Per California Code of Regulations, Title 22, deficiencies were observed during this visit and noted on 809D. Exit interview was held and a report was given to Administrator Orchid Damrichob. Appeal Rights provided.