Routine inspection·August 5, 2021

Licensing Program Analysts (LPA), Katrina Walters arrived unannounced to conduct an Annual inspection at approximately 10:30 AM, and met with Administrator, Imee Isabella (II). LPA conducted a risk assessment with II prior to entering the facility. The inspection is focused on the Infection Control procedures and practices of this facility. Mitigation plan has been submitted and approved by Community Care Licensing (CCL). Upon entry, LPA was screened and had temperature checked prior to entering. Visitors have their own entrance, where they are signed in, screened and can visit with residents. Alcohol based hand wash and disposable mask was available at both entries. At approximately 10:45 AM LPA conducted walkthrough of facility with administrator and made the following observations: Facility had all required postings visible for visitors. Additional posters were posted throughout the facility to promote handwashing and social distancing. Facility was a comfortable temperature and exits were free from obstructions. Bathrooms were stocked with hand soap and paper towel. Per Administrator, they regularly discuss infection control with residents and staff. Changes in protocol are communicated to responsible parties via phone or email. Staff have completed Personal Protective Equipment (PPE), infection control training by Solano County Public Health. Facility has 60+ day supply of PPE located in the garage. Facility is cleaned daily and high touch surfaces are cleaned each shift and after every meal. (Continued on LIC 809-C) All exit alarms on exit doors were working properly. Fire Extinguisher was found to be last charged on March 2, 2021 at the time of the visit. There were 6 Facility smoke detectors and 2 carbon monoxide detectors that were found to be functioning properly at the time of the visit. There was a sufficient supply for both perishable and nonperishable foods as required by Title 22 Regulations. Food stored in the kitchen refrigerator were properly stored as per regulations on this day at the time of the visit. The following document is being requested from administrator and will be submitted by 8/19/21 : Physician order for resident R1's bed. No deficiencies observed or cited during today's Required 1- Year inspection.