Routine inspection·April 8, 2022

Licensing Program Analyst (LPA) Walters arrived unannounced for the purpose of conducting a Required 1 Year annual inspection. LPA met with Tonya Tucker Tafolla (TTT), Director of Resident Care. This visit will focus on the infection control of this facility. The facility submitted an infection control mitigation plan on 04/01/2021 which was approved by Community Care Licensing. LPA made the following observations: The facility was clean and a comfortable temperature. Upon entrance of the facility signs are posted on the front door to encourage visitors to wear a mask. In the foyer, the facility has posted their visitor policy, along with disposable mask and hand sanitizer. Front desk staff signed LPA in using a sign-in sheet, and checked LPA's temperature. All staff were wearing face coverings. Resident's visitors were signed in and able to visit with residents in designated area's and bedrooms. LPA observed a 30 day supply of medication and incontinence products. LPA reviewed resident and staff files. Record review revealed that staff have been trained on personal protective equipment and infection control. Continued on LIC 809 C LPA toured the memory care with TTT and observed that residents in the memory care were engaged in activities, other residents were social distanced in the dinning area. In resident R1's bedroom LPA and TTT observed scissors on their tray table. Scissors were accessible to resident. In R2's bedroom LPA and TTT observed a medicated salve and mouthwash. Both Residents R1 and R2 have a dementia diagnosis. TTT immediately removed items and requested the Memory Care Director to do an audit of all resident's bedrooms. (pictures taken) Siohbhan Lehman, is no longer the Administrator of this facility. LPA requested the following forms to change Administrator by COB on 4/11/22: LIC 215, LIC 500, board of resolution, LIC 308, LIC 501. The facility received a citation for the deficiency observed above. Appeal rights given. California Code of Regulations, (Title 22, Division 6), are being cited on the attached LIC 809-D. Failure to correct the deficiency and/or repeat deficiencies within a 12 month period may result in civil penalties. Exit interview conducted with Tonya Tucker Tafolla, Director of Resident Care.