Routine inspection·January 27, 2022

Licensing Program Analysts (LPAs) Salia Walker and Elsie Campos arrived at the facility unannounced to conduct a required Annual visit at 9:25 a.m. This annual had a specific emphasis on infection control practices and procedures. Upon arrival the LPAs met with two (2) staff. The LPAs met with Administrator Iris Vankraligen at 9:44 a.m., and explained the reason for the visit. The LPAs toured the physical plant areas inside and outside, with Iris Vankralingen at 9:45 a.m., to ensure there are no health and safety hazards. BEDROOMS: The LPAs observed the resident bedrooms which were furnished with clean linens, appropriate furnishings, and sufficient lighting. RESTROOMS : Resident restrooms are clean, sanitary, and in operating condition with grab bars and non-skid surfaces. The LPAs observed sufficient amounts of soap, paper products, and hand-washing signs in each restroom. Between 9:54 a.m. and 9:55 a.m., hot water temperatures measured between 105.5 and 105.7 degrees Fahrenheit in the common and private bathroom(s). KITCHEN: Kitchen appliances were in operable condition. The facility has a sufficient supply of perishable and non-perishable food. At 9:47 a.m., the LPAs observed accessible sharps/culinary knives in the facility’s kitchen drawer next to the oven. The Administrator confirmed the facility does currently have residents with Dementia. The LPAs advised the administrator that all sharp items including culinary knives must be locked at secured at all times. Repairs were made to the facility kitchen drawer containing the culinary knives during visit. Kitchen cleaning supplies were observed to be properly stored and locked at time of visit. Hot water measured 108.7 degrees Fahrenheit at 9:47 a.m. Continued on LIC 809C.. COMMON SPACES: In the common areas, walls and flooring were checked for cleanliness and good condition. At the time of the visit, living room and dining room furniture was observed to be in good condition. The LPAs observed required postings on the wall near the front entry way. Two (2) fire extinguishers were observed to be fully charged with a service date of 01/2021. At 9:58 a.m., the LPAs observed the facility’s laundry area did not have a lock/latch to properly secure, and there were accessible laundry cleaning supplies and chemicals. Facility staff placed a lock securing the accessible items during the visit. BACKYARD: The backyard has a covered outdoor area equipped with furniture for resident use. There were no bodies of water noted. The facility garage is attached to the facility, and is currently being utilized as storage. INFECTION CONTROL: During today’s visit, the LPAs spoke with the Administrator regarding the facility’s infection control practices. Upon entry, the facility had a central entry point for symptom screening, temperature checks, and sanitation station. The LPAs observed an adequate supply of Personal Protection Equipment (PPE) and the facility is able to obtain additional supplies as needed. The facility’s cleaning protocol is sufficient. If needed, the facility has the capacity to designate a single isolation room if the facility has a confirmed case of COVID-19. The facility does not have a confirmed case of COVID-19 at this time and the LPAs reviewed facility’s policies and procedures as it pertains to infection control. The following deficiencies were observed (See LIC 809-D.) and cited from the California Code of Regulations, Title 22. Exit interview conducted. A copy of the report and appeal rights were discussed and provided.