Routine inspection·August 31, 2021

On 8/31/21 at 11:30 AM, Licensing Program Analyst (LPA) Toan Luong contacted Administrator Sanjuana Enriquez to perform a facility risk assessment. LPA conducted an unannounced on-site One Year Infectious Control Annual visit to the facility. LPA met with Administrator Sanjuana Enriquez and explained the purpose of the visit. Administrator took LPA on a physical plant tour of the facility. The facility has submitted a mitigation plan to the department. The facility is a Residential Care Facility for the Elderly. During the facility tour, LPA advised posting signs of CDSS PINs and have PINs readily accessible to residents, visitors, and staff. LPA advised Administrator to have Emergency Disaster Plan contact numbers readily available for staff and residents as it was posted in a frame behind page 1 of LIC 610E. Administrator posted CDSS PINs and displayed contact information from LIC 610E prior to LPA's departure. LPA reviewed the Annual Mitigation Inspection Control Tool Module. Module was addressed with Administrator to satisfaction. LPA reviewed staff roster and noted an individual was working without CDSS clearance. LPA issued an immediate citation. Exit interview was conducted. No other deficiencies were cited. Report and appeal rights emailed to Administrator.