Routine inspection·June 16, 2022

Licensing Program Analyst (LPA) JoAnn Rosales conducted an unannounced Required -1 Year inspection. LPA met with Administrator Robloe Babasanta. During facility tour to inspect for infection control practices LPA observed one central entry point designated for universal entry screening. Cleaning supplies were observed and infection control practices were discussed. An inspection of the common area, resident rooms and restrooms were conducted hot water temperature (read at 110.8, 113.5, 113.9 and 110.3 degrees F.) in resident bathrooms. Grab bars were present in the bathrooms. Hygiene items are being provided. LPA observed a sufficient supply of perishable and nonperishable food. LPA observed working signal system. LPA observed appropriate lighting in the facility. LPA observed the fire extinguishers fully charged. The smoke alarms and carbon monoxide detectors were tested and were operable. Disinfectants and cleaning supplies were in a locked housekeeping room. Medications were centrally stored and are kept in locked medication carts and locked medication rooms. LPA observed a sufficient supply of PPE. Outdoor area toured- passageways are free of obstruction. During facility tour at 3:38 pm with Administrator LPA observed a maintenance cart outside of the Maintenance Directors office with a saw, a drill, ceiling paint & primer accessible to residents. During facility tour at 3:41 pm with Administrator LPA observed scissors, dry contacts lens drops, and alcohol wipes in staff #1 (S1)'s office accessible to residents as the door was left open. During facility tour at 4:05 pm with Administrator LPA observed shaving lotion in memory care residents bathroom room #136 accessible to residents. Continued on 809C During facility tour at 4:18 pm with Administrator LPA observed antibacterial hand wipes in memory care resident room #140 accessible to residents. During facility tour at 4:38 pm with Administrator LPA observed antibacterial all purpose cleaner in staff dining area accessible to residents. During facility tour starting at 4:40 pm with Administrator LPA observed staff #2 (S2)'s metformin tablets and scissors in S2's office accessible to residents as the door was left open. During facility tour starting at 4:46 pm with Administrator LPA observed wine, vodka, whiskey, tequila and champagne in cabinets in the Happy Hour Cafe accessible to residents. Administrator stated that they did not realize that the locks were missing from the cabinets. Pursuant to Title 22 Division 6 Chapter 8 of the CA Code of Regulations, the following deficiencies were cited (refer to LIC 809-D): Exit interview conducted, todays reports and appeals rights were reviewed and emailed to the Administrator.