Routine inspection·February 4, 2022

Licensing Program Analyst (LPA) Katrina Walters arrived unannounced to conduct a REQUIRED 1 Year Annual Inspection and was greeted by staff. The Administrator, Gideon Castro arrived later. This visit is focused on infection control. The facility has submitted an infection control plan, which was approved by Community Care Licensing. The visitor policy was posted on the exterior door. At the entrance there was a sign in book disinfecting wipes and hand sanitizer for visitors. LPA toured the facility with staff and made the following observations: The facility was clean and comfortable temperature, exits were free from obstructions. The fire extinguisher was last inspected 2/25/21. Smoke detectors and carbon monoxide detectors appeared to be operational. Auditory alarms on all exit doors were on an functional. All residents rooms were furnished per regulation. Signs were also posted throughout the facility to promote social distancing and hand washing. In the event of a COVID outbreak, the facility is able to isolate and quarantine all residents. Facility has at least a 30 day supply of incontinence and Personal Protective Equipment. Facility is disinfected twice daily, and after usage. Facility has a system for documenting the vaccination status of residents, visitors, and staff. All staff and resident's are 100% vaccinated. Per Administrator they have received infection control training from Solano Public Health. Continued on 809 D At approximately 2:10 PM, LPA observed wound medication on the side table in resident (R1)'s bedroom. LPA then observed that R1 had a wound that was approximately 5 inches long on their ankle. (picture taken). The wound appeared to be beyond a stage 2. R1 had an appointment with wound clinic. Facility did not document the wound on the resident needs and service appraisal or in an incident report, however per Administrator the wound appeared a month ago. The following deficiencies were observed (see LIC 809D) and cited from the California Code of Regulations, Title 22, Division 6 of California Regulation. Failure to correct the deficiency and/or repeat deficiencies within a 12 month period may result in civil penalties. Exit interview conducted and appeal of rights provided to the Administrator, Gideon Castro. Appeal Rights Given.