Routine inspection·September 30, 2021

On 9/30/2021, Licensing Program Analyst(LPA) Murial Han and LPA Komal Charitra conducted an unannounced annual inspection. LPAs observed COVID-19 signs posted by the entrance. LPAs were greeted by the Administrator, Eva Geonanga. LPAs explained the purpose of the visit. LPAs were screened at the front entrance, however, the Administrator was not able to provide the daily visitor screening log documentation. LPA toured facility and grounds. No accessible bodies of water or fire safety hazards observed. Infection control practices are reviewed: entry procedures, staff training and policies, containment strategies, PPE supply and the environmental cleaning supply are adequate bathrooms are equipped with soap and paper towels, COVID-19 signs were observed to be posted through-out the facility, the beds in the semi-private rooms are either 6 feet apart or 3 feet apart from head-to-toe. Medications, toxins and sharps are stored appropriately and inaccessible to resident, and a comfortable temperature is maintained, lighting is sufficient for comfort. There were 2 residents sitting in the dinning room maintaining social distancing. There were 5 residents and 3 staff during the annual inspection The facility was not able to provide any documentation for the daily COVID-19 screening for the residents and staff members. LPAs requested for an updated LIC610E by 10/4/2021. 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. This report is reviewed and discussed with the Administrator; a copy is provided.