Routine inspection (multi-day)·April 28, 2022

Licensing Program Analyst(LPA) Alviso, and Department Management K. Gaines, conducted a continued 1 Year inspection, and met with Administrator Assistant Debbie Smith, and Dan Ferrarese, Maintenance Director. The inspection is focused on the Infection Control procedures and practices of this facility, and review of staff records, hiring documents, vaccination information, including staff training. The facility is a licensed continuing care retirement community, which consists of residential assisted living residents that are provided care services, and residents that are currently independent, no provided assisted living care needs, at this time. If independent residents need care services at any time, these services may be added per the admission agreement, and the facility's plan of operation. Facility was toured with Dan Ferrarese, Main building , and both the South and North buildings. The facility has a large supply of personal protective equipment (PPE). The LPA observed the front lobby entrance where the screening check is conducted; There is a thermometer video scanner, hand sanitizer for use, and the Concierge will ask the screening questions and log the information as required. LPA was screened before being allowed to remain in the facility. LPA observed during the inspection, the Administrator and all other staff all wearing masks as required. Fire extinguishers were serviced and tagged as required- dated 4/18/21. The fire clearance is approved for Villetta building-132 non-ambulatory, includes 8 bedridden. Third floor 72 ambulatory, Casitas #1 thru #27, 54 non-ambulatory, and NO & SO buildings-64 non-ambulatory. Hospice granted for five (5) residents. LPA observed the food supply, perishable and non-perishable, to be sufficient during the inspection. The facility has a sufficient supply of food and water for the 72 hour shelter in place supplies. The facility has 14 large bins that contain required emergency supplies, and these are stored as follows: Main building has seven (7) bins on different floors, The South building has three (3) bins, one on each floor, and the North building has two(2) bins, one on each floor, and South and North Casita's each have one bin for each Casita area. Continued on LIC809C... The South building was having carpet installed and workers tools were left out in hallways on two floors, along with scraps of material and garbage from the work being done, this creates a safety hazard for residents using these hallways and entries into the building. This will be cited, see LIC809D. The LPA and Department Managemnt staff observed two housekeeping carts that were left unsupervised by the housekeepers, leaving all toxins/claners accessible to residents in care. This will be cited, see LIC809D. California Code of Regulations, (Title 22, Division 6, Chapter 8) and/or Health & Safety Code, is being cited on the following 809D. Exit interview conducted with Administrator Debbie Smith. Appeal Rights given to the Administrator D. Smith.