Routine inspection·July 11, 2022

On this day Licensing Program Analysts (LPA) Jaime Vado conducted an unannounced infection control annual inspection. LPA met with caregiver Ramel Concepcion and explained purpose of today's inspection. Around 345pm licensee Cherry Gonzales arrived and met with LPA. Upon entry LPA temperature was taken but COVID questions were not asked. Questions form was signed by LPA. 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 and at the main entrance. Hand sanitizer is observed as readily available through out the facility. Infection control practices are reviewed: entry procedures, staff training and policies, resident monitoring, containment strategies, environmental preparation and cleaning. PPE supply is observed as in place. Medications, toxins and sharps are stored appropriately and inaccessible to clients. Facility ambient temperature is warm and comfortable, and lighting is sufficient for residents and staff safety. Toilet and bathing facilities are equipped with grab bars and bath floor is textured non-slip flooring. Liquid soap is available an paper towels are present in bathrooms. Water temperature is tested in hallway bathroom at 116F. First-aid kit is inspected and is complete. A disaster and mass casualty plan is present dated 2018. 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. Emergency food supply and PPE are also located in facility garage. Fire extinguishers are observed and charged ready for use. Last inspected on 5/7/2022. Linens for residents are observed as in place in a hallway closet. All residents and staff are fully vaccinated at this time with booster. First aid cards are inspected. S1 and S2 have expired first aid cards at time of inspection. Administrator certificate is current expiring 4/21/2023. The following updated forms are requested to be submitted to CCLD by 07/18/2022 : • Copy of administrator certificate • LIC 308 Designation of Administrative Responsibility • LIC 500 Personnel Report • LIC 610E Emergency Disaster Plan • LIC 9020 Register of Facility Clients Report is reviewed with licensee Cherry Gonzales. Deficiency cited on following 809D.