Routine inspection·March 11, 2022

Licensing Program Analyst (LPA) JoAnn Rosales conducted a Required 1 - Year visit to this facility. LPA met with Licensee/Representative Adelaida Cruz. LPA conducted a facility tour to inspect for infection control practices. Infection control practices were discussed with the Licensee/Representative. An inspection of the common areas, resident rooms and restrooms were conducted. LPA observed a sufficient supply of perishable food. LPA observed hot water temperature at 109 degrees F. PPE supplies were observed. LPA observed the fire extinguisher fully charged. The smoke detectors and carbon monoxide detectors were tested and operable. LPA observed appropriate lighting in residents rooms. Medications are stored in a locked medication closet. Outdoor area toured- passageways are free of obstruction. LPA reviewed resident records. During facility tour at 11:05 am with staff Remwel Patawaran LPA observed scissors in an unlocked drawer in the kitchen accessible to residents. During facility tour at 11:08 am with staff Patawaran LPA did not observe a sufficient supply of nonperishable food as the facility did not have any nonperishable fruit. During facility tour at 11:11 am with staff Patawaran LPA observed facial cleanser, mouthwash, shampoo, conditioner, body wash and toothpaste in staff bathroom accessible to residents. During facility tour at 11:17 am with staff Patawaran LPA observed a razor, deodorant, body cream, calmoseptine ointment, vitamins a & d ointment and perineal wash in resident bathroom accessible to residents. Continued on 809C 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 appeal rights were reviewed and emailed to the Administrator.