Routine inspection·August 18, 2022

On this day Licensing Program Analysts (LPA) Jaime Vado conducted an unannounced infection control annual inspection visit. LPA met with facility staff person Chad Tan and let him know the purpose of today's visit. Upon entry LPA observed COVID postings upon entry to the facility on front door. LPA signed in and had temperature taken. LPA toured the physical plant inside and out. There are no accessible bodies of water or fire safety hazards observed. COVID postings and hand washing signs are present inside the facility. Hand sanitizer is observed as available through out the facility. Facility ambient temperature is warm and comfortable, and lighting is sufficient for residents and staff safety. Medications are locked and not accessible. LPA observed empty medication containers for residents on a dining table adjacent to kitchen. LPA inspected the containers and they are empty. First aid kit is observed as in place in the kitchen. Toilet and bathing facilities are equipped with grab bars and non-slip mats. Liquid soap is available. Paper towels are present for resident use. Water temperature is taken on lower level common bathrooms at 128F. Laundry machines and dryers are observed as functioning. Emergency food supply, dry goods, and perishables are observed as in place. Fire extinguishers are charged ready for use. Last stamped as inspected on 6/22/22. Infection control practices are reviewed: entry procedures, staff training and policies, resident monitoring, containment strategies, environmental preparation and cleaning. PPE supply is observed but requires more supply to be present. Medications, toxins are stored appropriately and inaccessible to clients. LPA attempted to review first aid cards, resident and staff temperature logs, and staff files but they are not accessible to LPA on this day. Resident temperature logs and staff logs are current. All staff are vaccinated. Clients are fully vaccinated as well according to staff. A disaster and mass casualty plan is present dated 2019. Criminal record clearances or exemptions for facility staff or other individuals who have client contact have been finger print cleared and associated to the facility. Mitigation and Infection control plan is not present for review. Administrator certificate is current expiring 9/8/2023. LPA is requesting the following updated forms to be sent to the Department by 8/22/22 : • Copy of administrator Certificate • LIC 308 Designation of Administrative Responsibility • LIC 500 Personnel Report • LIC 610D Emergency Disaster Plan • LIC 9020 Client Roster Report is reviewed with caregiver. Deficiency cited on following 809D.