Routine inspection·May 27, 2021

Licensing Program Analyst (LPA) Arlene Garcia and (LPA) Albert Johnson conducted an unannounced annual / Infection Control visit on this date. LPAs were greeted by Venice Andrews, Caregiver. LPAs met with Administrator, Marinela Placintar. LPAs and administrator inspected physical plant including but not limited to the main kitchen, residents bedrooms and bathrooms, laundry room, and dining room area. LPAs observed sufficient seven days non-perishable and two days perishable food supplies in the main kitchen. LPAs and administrator observed centrally stored medications. Hot water temperature was measured in residents' bathroom with the Administrator and measured at 115 degrees which is in the required range of 105 to 120 degrees. LPAs observed there was a Carbon Monoxide monitor in facility. LPAs observed cabinet under sink in kitchen not locked and toxins stored under sink. LPAs verified the last FireDrill was conducted May 2021. The emergency disaster and training was completed on April 26, 2021. Cont on 809-C >>>>>>>>>>>>>>>>>>>>>>> Staff and visitors enter the facility through ringing the locked front door, sanitizer, thermometer, sign in sheets were observed. COVID signs posted in front entry way. LPAs reviewed 2 staff files and 5 resident files. While reviewing resident files, LPAs observed: both staff files missing TB and Health Screen, 1 of 5 residents (R1) was missing updated 602/Physicians Report. LPAs requested an updated 602/Resident Files for R1 and TB/ Health screen for employees. Administrator stated they had employee files at main office as they were working with Guardian to have all Golden Age employee associated to all facilities. Administrator at main office was able to fax over one of the employees TB and Health Screen. 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.