Routine inspection·December 28, 2022

On 12/28/2022 at 8:50am, Licensing Program Analyst (LPA) Simi Rai conducted an unannounced annual required inspection and met with Assistant Executive Director (AED), Hunter Obrero. During visit, LPA Rai toured the 4 levels of the facility, including the multiple common areas, 3 bedrooms on each level, 3 bathrooms on each level. All fire exit routes were free and clear of obstruction. All staff observed wearing a face covering. Facility has a designated entry point for sign-in, symptom screening, temperature check for all visitors and staff. Per updated visitation guidelines in PIN 22-28.1-ASC, visitors are allowed in the community without the proof of a negative COVID-19 test or proof of COVID-19 vaccination status. Hand sanitizer made available at entry and throughout the facility. Visitation guidelines posted at the entrance. Bathrooms supplied with hygiene products and paper supplies. AED will post up hand washing signs in bathroom and near kitchen sinks. Facility has procedures to isolation and testing for COVID-19. Staff are trained on infection control. Staff are N95 fit tested. Facility staff clean and disinfect multiple times daily and as needed. The following posters observed to include wash your hands and wear a face mask. On 12/28/2022 at 10:34am LPAs observed S1-S3 fingerprint clearance but not associated to the facility. AED completed fingerprint transfer request for S1-S3 and Background Clearance Letter was provided for S1-S2 effective 12/28/2022 at 10:50am. LPAs observed Assistant Executive Director completing the LIC 9182 and faxing a copy to CCL for S3 effective 12/28/2022 at 12:29pm. Deficiencies were cited from California Code of Regulations, Title 22 during today’s visit, see LIC 809-D. A civil penalty is being assessed for the amount of $500 ($100 per day x 5 days = $500), for staff (S1) working at the facility without association. A second civil penalty is being assessed for the amount of $500 ($100 per day x 5 days = $500), for staff (S2) working at the facility without association. A third civil penalty is being assessed for the amount of $500 ($100 per day x 5 days = $500), for staff (S3) working at the facility without association. Please see LIC 421BG. Technical Assistance Notes were provided. This report was reviewed with Assistant Executive Director, Hunter Obrero. A copy of the report and Appeal Rights were provided.