Routine inspection·August 5, 2021

Licensing Program Analyst (LPA) Arlene Garcia conducted an unannounced annual / Infection Control visit on this date. LPAs were greeted by Thurmeta Smith, Caregiver. LPAs met with Administrator, Marinela Placintar and Caregiver (S1), Jevonnie Smith LPA and S1 inspected physical plant including but not limited to the main kitchen, residents bedrooms and bathrooms, laundry room, and dining room area. LPA observed sufficient seven days non-perishable and two days perishable food supplies in the main kitchen. LPA and S1 observed centrally stored medications. Hot water temperature was measured in residents' bathroom with the Administrator and measured at 117.1 degrees which is in the required range of 105 to 120 degrees. LPA observed there was a Carbon Monoxide monitor in facility. LPA observed cabinet under sink in kitchen locked. LPA observed sharps locked in pantry closet. LPAs verified the last FireDrill was conducted July 2021. Fire extinguisher maintained on 5/5/21. Cont on 809-C >>>>>>>>>>>>>>>>>>>>>>> LPA observed hospital bed in R1 room. S1 confirmed R1 is not on hospice. LPA reviewed R1 file and found no doctors note issuing the use of a hospital bed. Staff and visitors enter the facility through ringing the locked front door, sanitizer and thermometer were observed. COVID signs posted in front entry way. Sign in sheets were observed to document date, visitors name, and temperature. Sign in sheets did not include symptom screening for reporting requirements to public health officer and contact tracing. LPA was greeted by both S2 and S3. Routine symptom screening (+/- temperature and symptom check) was not initiated at entry until prompt by the LPA. LPA reviewed 3 staff files and 4 resident files. While reviewing files, LPA observed two staff file missing Health Screen. All 3 staff have their TB completed. Per California Code of Regulations, Title 22 Division 6, Chapter 8, deficiencies are being cited today in violation of California Code of Regulations. Exit interview held with Marinela Placintar and a copy of report given at the conclusion of the visit.