Routine inspection·March 1, 2022

On 03/1/22 at 10:45 a.m., Licensing Program Analyst (LPA) Toan Luong conducted an unannounced One Year Infection Control Annual visit to the facility. LPA met with Administrator Dorothy Berger, Owner Margaret Halsell, Staff (S1) Susan Halsell and explained the purpose of the visit. At 10:50 a.m., LPA, administrator, owner, and S1 observed the door to the kitchen was open from the outside. LPA entered the kitchen and observed an unlocked cabinet containing cleaning products. 3 Aerosols cans were stored in the cabinet, Brilliance Food Grade Stainless Steal Cleaner, WD-40, and one disinfectant aerosol. LPA observed 3 cleaning spray bottles with content mostly emptied, and 2 small bottle identified as Hibiclens, an antispectic/Antimicrobial Skin Cleaner. LPA observed another door leading to the kitchen was also open. Dementia residents were present in the room adjacent to the kitchen. Administrator and owner inquired staff how cabinet was unlocked. Staff replied that cleaning was recently done and cabinet was not locked. Administrator and the owner locked the cabinet. 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 11:00 a.m., LPA observed PUB 475 posted in the main dining room. PUB 475 was in the size of 8.5"x11". LPA referred to Title 22, Division 6, Chapter 8, Article 08. Resident Assessments, Fundamental Services and Right, 87468 (A) Licensees may use the Residential Care Facility for the Elderly (RCFE) Complaint Poster (PUB 475) or may develop their own poster as provided in this section. A poster developed by the licensee shall contain the same content as the PUB 475. The poster that is posted shall be 20" x 26" in size and be posted in the main entryway of the facility. PUB 475 may be accessed, downloaded, and printed from the www.ccld.ca.gov website. At 11:30 a.m., LPA reviewed Infection Control Module with Administrator and S1. All items in Infection Control Module were checked off as yes. LPA made recommendation to rearrange signs for better visibility. (Continued on 809C) For example, hand washing signs on the bathroom were posted on the outside of the door. As a result, residents would not be able to see the sign when the door is closed. Infection Control Module was addressed with Administrator and S1 to satisfaction. LPA issued deficiencies on 809D, conducted exit interview, and emailed report and appeal rights to administrator.