Routine inspection·February 1, 2023

On 2/1/2023, Licensing Program Analyst(LPA) Murial Han conducted an unannounced annual inspection. LPA observed COVID-19 signs posted by the entrance. LPA was greeted by administrative manager, Gerogina Aguirre. LPA explained the purpose of the visit. Administrative manager informed the administrator of LPA's visit by phone. 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, resident and staff daily monitoring records, containment strategies, PPE supply and the environmental cleaning supply are adequate; COVID-19 signs are posted through-out the facility; bathrooms are equipped with soap and paper towels; hand washing instruction is posted by the hand washing stations; trash cans are observed to have foot operated lids. The facility has 2-bed rooms and private rooms. The beds in the shared rooms are observed to be 6" apart. Medications and chemicals are observed to be locked in a storage room with a digital lock. Sharps are stored appropriately and inaccessible to residents in the kitchen with a lock on the door and staff locks the door when he/she leaves the kitchen. A comfortable temperature is maintained, lighting is sufficient for comfort and safety and food supply was checked and observed to be sufficient. First-aid kits are inspected and complete. There are 16 residents, and 5 staff members present during the inspection. During today's visit, LPA reviewed the daily COVID-19 screening logs for residents and facility from Novemer 26th, 2022 to February 1st, 2023 and observed facility is conducting daily screening for residents. However, it is not being consistently completed for facility staff as there were many omissions on the logs to show that facility staff was not screened on a daily basis. Based on observation, and record review, deficiency is cited under California Code of Regulations, Title, 22 cited on the LIC 809D. Failure to correct the deficiencies may result in civil penalties. This report is reviewed and discussed with administrative manager. A copy of this report and appeal rights were provided.