Routine inspection·September 27, 2021

LPA Audrey Jeung toured facility and grounds, consisting of private and shared studio units--all but one with private shared bathrooms--on 2 floors. There are 13 rooms on the second floor and 15 rooms on the ground floor, where there are 4 exits equipped with a 15 second delayed egress: one is tested and operates as required. The front gate is a delayed egress, but the front door is not. The facility accommodates non-ambulatory, bedridden and hospice residents. Rooms are equipped with emergency call systems, which can be activated from bathrooms and bedrooms. There is a large dining room, kitchen, offices and all purpose room on the ground level. Beauty salon is located on second floor. Infection control practices are reviewed: entry procedures, staff training and policies, resident monitoring, containment strategies, environmental preparation and cleaning. PPE supply is adequate. Medications, toxins and sharps are stored appropriately and inaccessible to clients, a comfortable temperature is maintained, and lighting is sufficient for comfort and safety. Liquid soap and paper towels are available in all bathrooms, including private client bathrooms and in kitchen. First-aid kit is inspected and complete. Criminal record clearances or exemptions for facility staff or other individuals who have client contact have been reviewed. Iren Ludnay is a certified RCFE administrator (x 4/22) that oversees facility operations. The following updated licensing forms or information are requested to be submitted to CCLD BY 10/11/21: - Administrative Organization (LIC309) - Affidavit Regarding Client Cash Resources (LIC400) - Proof of current surety bond - Program plan for serving bedridden residents - Proof of current liability insurance COVID Mitigation Plan is provided to LPA today. This may have been submitted to CCLD previously. Deficiency of the CA Code of REgulations, Title 22 is observed and cited on a following page.