Routine inspection·February 18, 2022

On 02/18/22 at 12:50 p.m., Licensing Program Analyst (LPA) Toan Luong conducted an unannounced One Year Infection Control Annual visit to the facility. LPA toured facility with staff and met with Administrator Susan Marsh. LPA explained the purpose of the visit. At 1:02 p.m., LPA observed a fire extinguisher in the kitchen with a service tagged punched for November 16, 2018. Facility contacted service company during LPA's visit to have it serviced. At 1:03 p.m., LPA observed an open clear plastic container on the top of the refrigerator in the kitchen. LPA requested staff to place contents of container onto kitchen counter. LPA counted 28 knives ranging from chef's knife to pairing knives. Some knives had blade as long as 6 inches. This was a repeat deficiency cited on 2/8/2019. LPA asked staff to lock knives away. Staff locked container in the garage. LPA asked Administrator if there were any residents diagnosed with dementia. Administrator replied, "No." LPA reviewed resident's physician's report and noted there was one resident diagnosed with dementia on Physician's Report. LPA asked why knives were there. Administrator stated that it was on top of the refrigerator and out of residence reach. At 2:00 p.m., LPA discussed items in the Infection Control Module and noted that staff have not been fit tested with N95. LPA also noted that facility does not post or have California Department of Social Services (CDSS) Provider Information Notices (PINs) posted nor available. Facility did not have signs promoting social distancing, cough/sneeze etiquette, or hand washing signs. Hand washing signs were posted prior to LPA's departure. Infection Control module was addressed with administrator to satisfaction. At 3:00 p.m., LPA informed administrator that PUB 475 needed to be in a size 20"x26". Poster observed in the kitchen was 8.5"x11". LPA issued citations on 809D, conducted exit interview, and emailed appeal rights, report to the administrator.