Routine inspection·June 22, 2022

Licensing Program Analyst (LPA) Dina Alviso conducted Required 1-Year inspection and met with Caregiver Rhonel Recinto. The inspection is focused on the Infection Control procedures and practices of this facility. Residents are screened daily, and observed for any changes, all information is logged. 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. All exit alarms were on exit doors and working properly. All bathrooms had grab bars, and non-slip mat/flooring for bathing as needed. All postings were up and visible to all as required. Facility has a sufficient supply of personal protective equipment(PPE). Administrator and caregivesr on duty had a mask on during the LPA's inspection. Facility has an approved dementia plan of operation. There is an approved hospice waiver for two (2) residents. Fire clearance is approved for six (6) non-ambulatory, which includes one(1) bedridden. There were five (5) residents in care at the facility during this inspection. Fire extinguishers were current, serviced and tagged as required-expires 8/6/22. LPA is requesting the following documents be updated and submitted to CCL by 6/29/2022: LIC308 - Designation of Administrator Responsibility, Updated Liability Insurance Certificate, 610 Updated Emergency Disaster Plan. LPA observed the two staff on duty, live-in caregivers, Rhonel and Marlyn to not be wearing masks as required; The LPA was let into the home and never screened as required. LPA was not screened by either staff when arriving to the facility, and was let into the home no questions asked, no temperature taken. LPA observed medications accessible to residents in care in staffs unlocked bedroom. These violations will be cited, Personal Rights 87468.1(a)(2) and Administrator Qualifications and Duties, Care of Persons With Dementia 87705(f)(2)- 87405(d)(2) , see LIC809D.. Deficiencies 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. Appeal rights given Exit interview conducted with the Administrator Estelita Guzman.