Routine inspection·February 24, 2023

Licensing Program Analyst (LPA) Araceli Canela, arrived unannounced to conduct an Annual Required - 1 Year inspection and met with Denise April Vasquez, Business Office Manager; Administrator, Kaitlyn Clarey was not available. The annual inspection is focused on the Infection Control procedures and practices of this facility. This facility is licensed to care for up to 80 non-ambulatory residents, at this time the facility has 38 residents living in assisted living. There is an approved hospice waiver for six (6) residents. This facility has an independent section/apartments and the independent living is not licensed by Community Care licensing. LPA toured facility and grounds and observed COVID-19 precaution signs posted in common areas and bathrooms to promote physical distancing, face coverings and hand washing. LPA was screened for COVID-19 symptoms upon entrance to this facility. Visitors are said to be screened for COVID-19 symptoms upon arrival to the facility. Infection control practices are present: entry procedures, face coverings, daily monitoring and temperatures checked for residents and staff, and 30-day PPE supply. Facility states staff clean and disinfect the facility daily. Bathrooms are equipped with liquid soap and paper towels. Covid-19 Mitigation and infection control plan was submitted to the department. Caregivers have completed PPE training. In addition, facility was found to be at a comfortable temperature with all exits free from obstruction. Fire Extinguishers were found to be charged and serviced 11/16/2022. Facility has hard wired smoke alarms and fire sprinklers that are serviced yearly. During today's inspection LPA found out there was an issue with a sprinkler or leak in the main entrance of the facility. LPA requested an incident report and additional information by 2/28/2023 for review. Facility provides activities for residents on a daily basis and residents are encouraged to attend. LPA observed several residents engaged and enjoying the activities. LPA went over call buttons/pull cords for residents; who gets notified and provides assistance. LPA requested written plan on the operation of pull cords to be sent to LPA for review by 2/28/2023. There was sufficient supply of both perishable and nonperishable foods as required by Title 22 Regulations. Kitchen observed clean, organized and staff wearing face covering. LPA went over dietary restrictions protocol. LPA went over the following updated forms to be submitted to LPA A Canela by 3/24/2023. · LIC 308 Designation of Facility Responsibility · LIC 500 Personnel Report · LIC 610E Emergency Disaster Plan · LIC 9020 Register of Facility Residents · Copy of Liability Insurance · Copy of current Lease/Rental Agreement or Property Tax document showing control of property. Exit interview conducted with Denise Vasquez, Business Office Manager No deficiencies cited during this inspection