Routine inspection·July 25, 2022

Licensing Program Analyst (LPA) Christine Dolores arrived unannounced to conduct the facility's annual inspection focusing on infection control. LPA met with Administrator (ADM), Mila Valisto. LPA toured the facility inside and outside to include the kitchen, resident rooms, bathroom, living room, and backyard. Medication were observed in a locked cabinet. Facility has a central entry point for sign-in. LPA advised to create a symptom screening questionnaire for all visitors and staff. Hand sanitizer made available. Bathroom observed to have hygiene products, paper supplies, a lidded trash can, and hand washing sign. Facility staff clean and disinfect multiple times daily and as needed. LPA observed facility's Personal Protective Equipment (PPE) supplies. LPA advised to maintain at least a 30 day supply of all PPE. ADM states all staff are N95 fit tested. Staff has not completed recent training for Infection Control. LPA advised to provide all staff with infection control training. Facility staff not observed to be wearing a face mask. LPA informed staff of the required mask for staff and visitors. The following posters were observed to include symptoms of COVID-19. At 2:00 p.m., LPA observed the facility's hand rails in the backyard to be in disrepair with sharp/broken pieces of wood. Facility has not submitted their infection control plan. LPA advised to review PIN 22-13-ASC and to submit the infection control plan to the Department. LPA will provided ADM with COVID-19 resources. The following documents were requested: LIC500, LIC610E and updated Administrator Certificate. A deficiency was cited per California Code of Regulations, Title 22. Advisory notes provided. This report was reviewed with Administrator, Mila Valisto and the report and appeal rights was provided.