Routine inspection·September 20, 2022

Licensing Program Analysts (LPA's) Kontilis, Olson, and Cortez conducted an unannounced infection control annual inspection. LPA's were greeted by Concierge around 11:18 and Administrator around 11:30 AM. Currently, there are 369 residents living within the community. There are 327 residents residing in Residential Living, 26 residents residing in Quail Lodge, the Assisted Living area of the community, and 16 residents residing in The Grove, the memory care unit of the community. LPA's reviewed staff roster from 11:40 AM to 1:10 pm LPA's Olson and Cortez took a physical plant tour of the facility with Assisted Living and Memory support Manager from 1:30 to 3pm. This facility consists of Independent Living section, Quail Lodge Resident, and The Grove Memory Care. Medications are kept in a locked medication room. Main kitchen, dining rooms, various activity rooms were toured. The facility has a swimming pool. Swimming pool is secured. The kitchen was inspected for cleanliness and sanitary condition. The facility has multiple areas spaced to accommodate as much space as possible for social distancing. The staff screen residents for symptoms and temperature at least once a day and documentation is kept on file. Increased monitoring is conducted if any change of condition are noted or any residents are showing any signs, symptoms or a temperature. Signs are posted on the front door, entry area regarding Covid-19. Continued on 9099-C Staff makes sure residents have a mask when leaving the facility on outings into the community. All staff wear face coverings in the facility and when on outings with residents. Facility have areas for visiting inside and outside. The facility also offers virtual and telephone communications to all residents in care. Staff, Residents and visitors are informed of the facilities infection control policies. New residents and staff will be tested and negative results received before working or residing in the facility. The facility has procedures and plans for screening, isolation, testing, when to call 911 and notifying all responsible parties and agencies when needed. Administrator is in charge of infection control and provides training and education to staff, residents and visitors. Staff will use full PPE with N95 masks and face shields when dealing with any pending or confirmed cases of Covid-19. Facility has plans for delivering medications and meals to any quarantined/isolation resident rooms. Facility Administrator has a plan in place for when and whom to notify in an outbreak or other emergencies.Sinks were well stocked with soap, paper towels and hand washing signs. Staff and resident records are kept in locked offices. Facility does realize guidance changes and the most up to date guidance from CCL-PINS, CDC, CDPH, and local health departments should be followed to remain in compliance. The most stringent orders should be followed by any of these agencies. Administrator Certificates are valid. Fire extinguishers were charged and inspected annually. The facility has hardwired smoke detectors thorough the facility. At approximately 11:40 am, LPAs reviewed Department of Social Services, Community Care Licensing Division, Licensing Information System (LIS), Facility Personnel and facility staff roster and determined there are 3 staff members currently working in the facility and have not been associated to the facility prior to their employment. Additionally, one staff member has not received a criminal background and/or fingerprint clearance. Pursuant to Title 22 Division 6 Chapter 8 of the CA Code of Regulations, the following deficiencies were cited (refer to LIC 809-D), Exit interview conducted. Report, Civil penalties and Appeal Rights issued via email.