Routine inspection·October 19, 2022

Licensing Program Analyst (LPA) Christine Dolores arrived unannounced to conduct the annual inspection focusing on infection control. LPA met with staff, Imentinyan Ibinigie. During visit, LPA toured the facility to include the living room, kitchen, resident rooms, bathrooms, and backyard. Facility has a designated entry point for temperature check and sign-in. LPA advised to place a symptom screening questionnaire at the entry for all visitors and staff. Hand sanitizer available at entry. Visitation guidelines posted at entry. Staff clean and disinfect multiple times daily and as needed. Bathrooms supplied with hand washing sign, paper supplies, and hygiene products. Facility has procedures to isolation. Staff states to have conducted infection control training. LPA did not observe at least a 30 day supply of complete Personal Protective Equipment (PPE) supplies. Trash can with lid observed. Staff are not N95 fit tested. The following posters observed to include symptoms of COVID, hand washing, and stop the spread of germs. Facility's fire extinguisher was last serviced on 10/02/2020. The following documents were requested during visit to include facility's LIC-500 and LIC610E by 10/21/2022. A deficiency is being cited per California Code of Regulations, Title 22. Advisory notes provided. This report was reviewed with Imentinyan Ibinigie and a copy of the report and appeal rights will be emailed to the Administrator due to printer error.