Routine inspection·November 18, 2021

On November 18, 2021, Licensing Program Analyst (LPA) Komal Charitra conducted an unannounced annual inspection. Upon arrival, LPA did not see any COVID-19 signage posted at the front door. LPA was greeted by staff member Purificacion Gotera, and Administrator, Yolanda Rogayan joined shortly there-after. LPA Charitra explained the purpose of the visit. LPA was not screened at the front door and the Administrator was not able to provide LPA with visitor screening log documentation. LPA toured the facility and grounds. No accessible bodies of water or fire safety hazards observed. Infection control practices are not present: COVID-19 signage, entry procedures, staff face coverings, daily monitoring for residents and staff, visitor log documentation, and 30-day PPE supply. LPA observed 2 bathrooms, both of which are equipped with hand washing signs, liquid soap, paper towels, and a covered trash bin. LPA observed 4 semi-private rooms with beds 6ft apart from eachother. There was a lack of COVID-19 signage throughout the facility. More signs should be posted in the facility hallway. A comfortable temperature is maintained and lighting is sufficient for comfort. During the tour, the medication and sharps cabinet was unlocked. Sharps were observed to be present in the sink. Medication was observed to be out on the table accessible to residents. LPA immediately told Administrator to lock both sharps and medication so it is inaccessible to residents. LPA observed clean linen present and first aid kit to be completed. LPA requests the following documents to be sent by 11/25/2021: LIC308 Designation of Administrative Responsibility LIC500 Personnel Report Administration Certificate LIC610E Emergency Distaster Plan 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.