Routine inspection·August 12, 2022

LPA Audrey Jeung toured facility and grounds, consisting of 6 client bedrooms--each with private half bathrooms--and 2 staff bedrooms; rear staff room has one bed and the other has a bunk bed for 2 staff. There is a room that is not accessible in the rear of building--on left side--that administrator advised is occupied by an independent renter who has criminal record clearance. No accessible bodies of water or fire safety hazards observed. 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. Toilet and bathing facilities are equipped with grab bars and nonskid flooring material. Liquid soap is available at all sinks. First-aid kit is inspected and complete. A Disaster and Mass Casualty Plan is posted. There are 6 residents present, and 2 staff, plus the administrator. Two residents are receiving hospice services. Criminal record clearances or exemptions for facility staff or other individuals who have client contact have been reviewed, including current first aid training and health screenings. Olivia De Guzman is a certified RCFE administrator (x 6/22) that oversees facility operations. Copies of training certificates for 40 hours is observed, as well as check register which shows payment to CDSS for renewal of administrator certificate. Proof of current Liability Insurance is requested to be sent to CCLD by 8/19/22. Updated Personnel Report (LIC500) is given to LPA today. No deficiencies of the RCFE California Code of Regulations, Title 22, Division 6, Chapter 8 are observed. Facility is operating in substantial compliance.