Routine inspection·August 4, 2022

Licensing Program Analyst (LPA) Alviso arrived unannounced to conduct a Required 1 Year inspection, and met with Administrator Erika Molina. The inspection is focused on the Infection Control procedures and practices of this facility. All visitors, and staff are screened upon entry; Temperatures are taken, and screening questions are to be answered before being allowed to remain in the facility, all information is logged. Residents are screened daily, and observed for any changes, all information is logged. LPA was screened by staff as required. Facility has an approved dementia plan of operation. There is an approved hospice waiver for three (3) residents. Facility recently submitted the Infection Control Plan as required by the department. Fire clearance is approved for six (6) non-ambulatory, which includes one(1) bedridden. Fire extinguishers, three(3) were charged, tagged, and serviced as required. All exit alarms were on exit doors and working properly. There were six (6) residents in care at the facility during this inspection. Facility was found to be clean, orderly, and at a comfortable temperature with all exits free from obstruction. Toxins are stored in locked cabinets. There was a sufficient supply of hygiene products, cleaners, and paper products for use as needed. Medications were stored locked making them inaccessible to residents in care. All bathrooms had grab bars, and non-slip mat/flooring for bathing as needed. Continued on LIC809C... All postings were up and visible to all as required. Facility has a sufficient supply of personal protective equipment (PPE). LPA observed all staff to be wearing masks as required. . LPA observed that the facility's fire extinguishers had service tags that had expired, two(2) expired on 6/1/2022, and one (1) expired on 6/18/2022. Administrator stated that the service company had come out, and serviced the fire sprinklers not the fire extinguishers as thought. They have an appointment set up for 8/25/2022 for the extinguishers to be serviced.. This deficiency is being cited today, 87203 Fire Safety, see LIC809D. The following deficiencies were observed (see LIC 809D) and cited 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 to the Administrator.