Routine inspection·March 23, 2022

Licensing Program Analyst (LPA) Elsie Campos arrived at the facility unannounced to conduct a required Annual visit. This annual had a specific emphasis on infection control practices and procedures. The LPA met with staff at 9:30 a.m. and explained the reason for the visit. Administrator Maria Mendez arrived a short time after. The LPA toured the physical plant areas inside and outside, with staff and Administrator Maria Mendez between 9:50 a.m. and 10:30 a.m. to ensure there are no health and safety hazards. BEDROOMS: The LPA observed the resident bedrooms which were furnished with clean linens, appropriate furnishings, and sufficient lighting. There are (6) six bedrooms designated for resident use and (1) one bedroom designated for staff use. RESTROOMS: Resident restrooms are clean, sanitary, and in operating condition with grab bars and non-skid surfaces. The LPA observed (1) one bathroom without a non-skid surface in the shower, staff indicated the shower is not used by residents. The LPA advised administrator that all showers should maintain non-skid surfaces. The LPA observed sufficient amounts of soap, paper products, and hand-washing signs in each restroom. The restroom hot water measured between 112.0 and 132.6 Fahrenheit between 10:08 a.m. and 10:16 a.m. KITCHE N : Kitchen appliances were in operable condition. The facility has a sufficient supply of perishable and non-perishable food. Cleaning supplies were observed to be properly stored and locked at time of visit. The LPA observed and unlocked kitchen drawer containing an accessible kitchen knife and lighter. The LPA advised staff to keep all sharps and lighters locked and inaccessible at all times. Hot water measured 134.6 Fahrenheit at 10:09 a.m. Continued on LIC 809-C COMMON SPACES: In the common areas, walls and flooring were checked for cleanliness, living room and dining room furniture was observed to be in good condition, at the time of the visit. The LPA observed required postings in the hallway. Three (3) fire extinguishers were observed to be fully charged and serviced in 6/2021. The LPA observed a covered fireplace in the living room and one (1) carbon monoxide detector in the facility. Smoke/carbon Monoxide detectors are hardwired and interconnected. The LPA tested the smoke/carbon monoxide detectors at 10:27 a.m. BACKYARD: The backyard has a covered outdoor area equipped with furniture for resident use. There were no bodies of water noted. An unlocked shed in the backyard was observed and contains gardening supplies and gardening chemicals. The LPA observed an attached garage containing a laundry room and office. Laundry supplies were locked at the time of the visit. Office was not in use at the time of the visit. INFECTION CONTROL: During today’s visit, the LPA spoke with the Administrator regarding the facility’s infection control practices. The Administrator was advised that they need to ensure that visitors upon entry are signing in at a central entry point for symptom screening, temperature checks, and sanitation. In addition the LPA advised that Administrator that staff are to continue wearing face masks at all times. The LPA 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 LPA 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 and California Health and Safety Code. Failure to correct the deficiencies may result in civil penalties. Exit interview conducted. A copy of the report and appeal rights were provided via Email.