Routine inspection·October 11, 2022

On 10/11/22 at 4:40 pm, Licensing Program Analyst (LPA) Chavez conducted an unannounced on-site annual infection control visit to the facility above. LPA met with Dimfna Koc De Jong, Licensee/Administrator, and explained the purpose of the visit. LPA toured the facility with the licensee and observed the following: The facility has infection control signage at the front door upstairs, however, the downstairs entrance did not have signage. Licensee will post infection control/visitor policy signage and send a photo to LPA by 10/12/22. The facility is lacking signage throughout the facility on cough etiquette, handwashing, and use of masks. Licensee will post these signs, take photos, and send to LPA by 10/12/22. Upon entry to the facility, LPA was screened. Licensee did not have CDSS Provider Information Notices (PINs) readily accessible. Licensee will print and post in a common area, take a photo, and send to LPA by 10/18/22. Staff are wearing masks. The facility has soap and paper towels in resident bathrooms (4). Fire extinguishers (2) are located upstairs near the laundry room door and downstairs in the laundry room. The extinguishers are fully charged and were inspected on 4/26/22. Licensee states that some residents have dentists listed on their Identification and Emergency Information sheet, and others do not. Licensee will obtain dentist information and update resident Identification and Emergency Information sheets, and email/fax to LPA by 10/18/22. At 4:50 pm, LPA observed chemicals stored in an unlocked cabinet below the sink in the upstairs kitchen, knives/sharps were in an unlocked drawer under the stove in the upstairs kitchen, and chemicals were in an unlocked cabinet in the upstairs hall near resident bedrooms. Deficiency cited. At 5:30 pm, LPA conducted the Infection Control mitigation module with the licensee.