Routine inspection·July 29, 2021

Licensing Program Analyst (LPA) Erik Gonzalez Campos arrived unannounced to conduct a Required - 1 Year inspection at approximately 12:45 PM, and met with manager Teresa iLagan "TJ". This inspection is focused on the Infection Control procedures and practices of this facility. Upon entry LPA was asked to have their temperature taken and sign in by caregiver. At primary entrance LPA observed temperature logs and visitor sign-in sheet. LPA conducted walk through of the facility with care manager and observed COVID postings throughout. Mitigation plan was submitted and approved by Community Care Licensing (CCL). During walk through of facility LPA asked about testing of staff. LPA was informed that staff member had been tested on July 22, 2021 and received a positive result on July 24, 2021. This had not been previously communicated to community care licensing (CCL). Facility was a comfortable temperature and exits were free from obstructions. Plan is in place to isolate residents if they became ill. LPA confirmed facility has necessary PPE equipment and supplies to support a resident in isolation. Residents' emergency contact information has been updated and manager confirmed staff are familiar with 911 procedures and protocols. Toxins are secured and inaccessible in locked housekeeping closet. A 30 day supply of medications are stored in locked medication room, making them inaccessible to residents. Deficiencies 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. Appeal rights were provided.