Routine inspection·March 1, 2022

On 03/1/22 at 1:20 p.m., Licensing Program Analyst (LPA) Toan Luong conducted an unannounced One Year Infection Control Annual visit to the facility. LPA met with Administrator Thelma Tablada and explained the purpose of the visit. At 1:34 p.m., LPA opened a closet door in the main hallway and pulled 2 spray cans identified as Gorilla Glue Adhesive and Rinso Heavy Starch Fresh Linen. Both cans were labeled to keep away from children. Administrator removed items from the closet and locked away in the staff room. At 1:47 p.m., LPA entered an unlocked shed. Within the shed was another unlocked room containing 1 Roundup spray bottle, 1 bottle with a "Glass Cleaner" handwritten on it, and 4 other cleaning spray bottles. Administrator locked the door to the shed. At 1:50 p.m., LPA entered a separate shed and found 2 Lysol toilet cleaner, 1 Lysol disinfectant aerosol, 1 Sprayway Glass Cleaner aerosol, and 1 Honest disinfecting spray bottle. LPA asked staff to move items to a locked shed. At 1:58 p.m., LPA opened a sliding closet in the office area of the facility. At hip level, LPA pulled out a basket containing staff medication. Basket contained medication bottle labeled 500 mg Acetaminophen, 100 mg Allopurinol, 400 mg Ibuprofen. There was an open container with 8 unmarked pills in the basket along with medicine bottle for Tylenol and Melatonin 5 mg. Administrator informed LPA that there is one resident diagnosed with dementia. Administrator locked medicine basket away. LPA issued citation under Title 22, Division 6 Chapter 8 Article 12. Dementia 87705 Care of Persons with Dementia (f) The following shall be stored inaccessible to residents with dementia:(2) Over-the-counter medication, nutritional supplements or vitamins, alcohol, cigarettes, and toxic substances such as certain plants, gardening supplies, cleaning supplies and disinfectants. At 2:30 p.m., LPA reviewed Infection Control Module with Administrator and noted that the facility has not had staff complete fit testing for N95. All other items in the Infection Control Module were checked off as yes. Deficiency was issued on 809D. LPA conducted exit interview, emailed a copy of the report and appeal rights to the administrator.