Routine inspection·August 16, 2022

Licensing Program Analyst (LPA) Katrina Walters arrived unannounced to conduct a Required 1-Year Inspection and met with Administrator, Imee Villegas. The inspection is focused on the Infection Control procedures and practices of this facility. At primary entrance LPA observed temperature logs and visitor sign-in sheet. N-95 mask, disposable gowns, and hand sanitizer were available for visitors. LPA conducted walk through of the facility with staff and observed COVID postings throughout. Mitigation plan and Infection Control Plan was submitted and available for review. Facility was a comfortable temperature and exits were free from obstructions. Hand sanitizer is kept throughout the facility. Updated infection control guidelines and PINs are sent to the families and responsible parties. Staff have completed Personal Protective Equipment (PPE)/infection control training. Administrator maintains a binder with current COVID-19 protocols and contingency plans. Staff keep inventory of PPE. Inventory of PPE is stored in garage and Staff room. LPA confirmed facility has at least a 30-day supply of PPE and incontinence products. High touch surface areas are disinfected daily. Due to current facility census, residents could isolate in their own rooms if they became ill. Residents' emergency contact information has been updated and administrator confirmed staff are familiar with emergency procedures and protocols. Toxins are secured and inaccessible to residents. Medications are centrally stored in a locked. All staff and residents are vaccinated and boosted. Continued on LIC 809 C Continued from 809 LPA observed two video surveillance camera's located in bedroom 1 and 3. Video's were pointed toward resident's beds. Video's have audio. Administrator explained that the camera's were approved by the resident's families and only used at night. LPA explained that camera's cannot be used to supervise care. Video Surveillance violates resident's personal rights. Administrator will inform family of video surveillance guidance and submit an exception request to licensing. Regarding the cameras set up in resident's bedrooms, which violates resident's personal rights, the LPA will be citing this violation, Personal rights 80072(a)(1)-see LIC809D. The following deficiency(s) was/were cited (see LIC809D) 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. LPA requested updated copies of the following documents: LIC 500, LIC 9020, Liability Insurance, Emergency Disaster Plan, and LIC 308. Exit interview conducted with administrator and a copy of the report provided to the Administrator. No deficiencies cited during today's inspection.