Non-compliance follow-up·October 19, 2022

Licensing Program Analyst (LPA) Karina Canela arrived unannounced to conduct a Case Management Legal/Non-compliance inspection and met with staff Jesus Briones. Administrator Maria Bacani was unavailable during time of visit. The inspection is focused on the Infection Control procedures and practices of this Residential Care Facility for the Elderly. LPA toured the facility, all exits were unobstructed. Facility has a COVID-19 screening station (visitor sign-in sheet, thermometer, hand sanitizer). LPA recommended facility add a COVID questionnaire (with screening questions) to their sign-in sheet. Staff and resident's temperatures are taken daily and documented. Facility food supply was inspected and found to be within regulation. There are a total of 5 smoke detectors and 1 carbon monoxide detector, which were tested and observed operational. Fire extinguisher was charged and serviced 01/07/2022. The facility has a supply of PPE including gloves, hand sanitizer, N-95 respirators, gowns, face shields, and surgical masks. During this visit, LPA verified staff COVID-19 vaccination records. A review of resident and staff records was conducted. LPA discussed the following items with staff: · Facility to document resident Appraisal/Needs & Service Plans on required form LIC 625 (not LIC 603A) annually or when there is a change in condition for resident. · Ensure bathrooms have a garbage can with lid at all times · Implement a COVID questionnaire in visitor sign-in binder to ensure all visitors are being asked the screening questions LPA requested the following items be submitted to the California Department of Social Services, Community Care Licensing by 11/07/2022: · Infection Control Plan copy · Monkey pox Addendum to Infection Control Plan copy · D ocumentation on completion of N-95 Respirator FIT testing for staff (Cal/OSHA requirement). Exit interview conducted with staff Jesus Briones, whose signature on this document confirms receipt. **No deficiencies cited during this inspection