Routine inspection·November 4, 2022

On 11/04/22 at 1:55 pm, Licensing Program Analyst (LPA) Chavez conducted an unannounced on-site annual infection control visit to the facility above. LPA met with Staff #1 (S1) at the facility and spoke with by phone Abiy Tesfazgy, Licensee/Administrator, and explained the purpose of the visit. LPA toured the facility with S1 and observed the following: The facility has infection control signage throughout the facility on handwashing, cough etiquette and use of masks. The facility is missing infection control signage at the front door. Licensee will post COVID information and visitor policy at the front door, take a photo, and send to LPA by 11/7/22. Staff are wearing masks. The facility has soap and paper towels in resident bathrooms (2). Fire extinguishers are located in the kitchen and dining room. The dining room extinguisher is fully charged and was inspected on 12/27/21. The kitchen fire extinguisher is fully charged, however, it does not have an inspection tag on it. Licensee says it was purchased on 12/25/21. Licensee will attach the receipt to the fire extinguisher, take a photo, and send to LPA by 11/11/22. The facility’s north gate is missing a self-closing mechanism. Licensee will install a mechanism, take a video, and send to LPA by 11/11/22. The facility has a 11”x14” CDSS complaint poster. This should be 20”x26”. Licensee says he has the poster. Licensee will display in a common area, take a photo, and send to LPA by 11/11/22. At 2:10 pm, LPA observed a gallon container of bleach and all-purpose cleaner, and eight smaller containers of cleaning chemicals in the unlocked garage. Deficiency cited on a 9099-D page. At 2:23 pm, LPA conducted the Infection Control mitigation module by phone with the licensee. LPA discussed items to be corrected and deficiency with licensee. Exit interview conducted, deficiency cited and report and appeal rights emailed to the licensee.