Routine inspection·January 24, 2023

Licensing Program Analyst (LPA), Dina Alviso, conducted a Required-1 Year inspection and met with Barbara Santos, caregiver. Caregiver contacted the Licensees/Administrators Joy and Manuel Ortega, who arrived a short time later. The inspection is focused on the Infection Control procedures and practices of this facility. Facility has an approved dementia plan of operation. There is an approved hospice waiver for four (4) residents. Fire clearance is approved for six (6) non-ambulatory, which includes one bedridden clearance (RM #6.) Fire extinguishers, two (2), were serviced and tagged as required, expires December 14, 2023. There were six(6) residents in care at the facility during this inspection. Four(4)) residents are on hospice care. All visitors, essential 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 twice 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. Medications were stored locked making them inaccessible to residents and staff that do not handle medications. All exit alarms were on exit doors and working properly. Continued on LIC809C.... 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). Staff have PPE, including masks for use as needed. Residents have masks available to them for their use if needed and/or wanted. LPA observed that staff Barbara who answered the front door, was seen without having a mask on, before opening the door to the LPA. This deficiency will be cited, Personal Rights 87468.1-see LIC809D. Medication keys were left in the medication door leaving medications accessible to residents in care. A knife blade tool was left on a low stool accessible to residents in care. These deficiencies will be cited, Care of Persons with Dementia 87705(f)(1)(2)-see LIC809D. California Code of Regulations, (Title 22, Division 6, Chapter 8), is being cited, see LIC809D. Failure to correct deficiencies as required may result in civil penalties being assessed. Exit interview conducted with the Administrator Joy Ortega. Appeal Rights Given.