Routine inspection·August 1, 2022

On August 1, 2022, Licensing Program Analyst (LPA) Komal Charitra conducted an unannounced annual infection control inspection. Upon arrival, LPA did not observe COVID-19 signage posted at the front entrance. LPA met with Caregiver, Lorna Torres and explained the purpose of the visit. LPA was not screened at entry point and Caregiver was not able to provide LPA screening log documentation for visitors or staff. In addition, Caregiver indicated that she takes resident's temperatures, however does not document it. LPA toured facility and grounds. No accessible bodies of water or fire safety hazards observed. This is a single story home with 6 resident bedrooms, 1 staff bedroom, 2 full bathrooms, and 4 half bathrooms. LPA observed all resident bedrooms to be private rooms. Bathrooms were observed to be equipped with liquid soap, paper towels, and a covered trash can. LPA advised caregiver to put a hand washing sign in the bathrooms and remove all bath-towels and bar soaps from the communal bathrooms. Infection control practices are not present: entry procedures, and daily monitoring log for residents, visitors, and staff. LPA observed the 30-day PPE supply present at the facility. LPA toured the living room and dining room and it was clear and free from any tripping hazards. A comfortable temperature at 75 degrees F is maintained, lighting is sufficient for comfort. LPA toured the kitchen, medications, toxins and sharps are stored appropriately and inaccessible to residents. LPA observed 2 day perishable and 7 day non-perishable present. LPA advised caregiver to ensure there are no hand-towels in the kitchen. Extra linen was observed to be present. LPA toured the garage and observed the washer and dryer to be in good working condition. Extra food supply was present in the garage. CONT. to 809C LPA requests the following to be submitted to CCLD by 8/8/22: -LIC308 Designation of Administrative Responsibility -LIC500 Personnel Report -LIC610E Emergency Disaster Plan -Administrator Certificate Deficiency of the Residential Care Elderly California Code of Regulations, Title 22, Division 6 is observed and cited on a LIC 809D. Failure to correct the deficiencies may result in civil penalties. Report is reviewed with Caregiver, and a copy is provided.