Routine inspection·October 21, 2021

Licensing Program Analyst (LPA) JoAnn Rosales conducted an unannounced Required - 1 year inspection. LPA met with Administrator Evan Granucci. A physical plant tour was conducted to ensure there are no health and safety hazards. The facility is currently fire cleared for 566 non-ambulatory residents of which 6 may be bedridden. The facility was observed to be clean, safe, sanitary, and in good repair. 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, random resident rooms and restrooms were conducted. LPA observed COVID signs and sanitizing stations throughout the facility. Hot water was tested at 116.4, 115.2, and 113.4 degrees F in resident bathrooms. The resident restrooms were observed to be clean and sanitary and in working condition. There is an adequate amount of perishable and non-perishable food. LPA observed fire extinguishers fully charged. Carbon monoxide detectors were tested and operable. Fire alarms are hard wired and serviced by MJM Communications. They have a 24 hr a day monitoring system. Administrator provided proof of annual testing conducted on 11/6/2020. Grab bars were present in the bathrooms. Hygiene items are being provided. LPA observed working signal system. LPA observed appropriate lighting in the facility. LPA observed residents and staff wearing face masks. Outdoor area toured- passageways are free of obstruction. LPA reviewed random resident records. During facility tour starting at 12:18 pm with Administrator LPA observed resident #1 (R1) and R2's bedroom door unlocked and NovoLog flexpen insulin aspart injection prefilled syringe, lantus insulin glargine injection prefilled pen, entresto tabs, allopurinol tabs, atorvastatin tabs, cholecalcif tablets, levothyroxine tablets, furosemide tabs, linaclotide capsules, glipizide tabs, valsartan tabs, clopidogrel bisulfate tabs, loratadine tabs, glucosamine chondroitin capsules, benzonatate capsules, aspirin, metformin tabs, carvedilol tabs in Continued on 809-C R1 and R2's bedroom accessible to residents. During a review of resident records at 3:30 pm LPA observed that R3 does not have a TB test on file. Due to time constraints, the LPA will return at a later date to continue the inspection. Pursuant to Title 22 Division 6 Chapter 8 of the CA Code of Regulations, the following deficiences were cited (refer to LIC 809-D): Exit interview conducted. Today's reports and appeal rights were reviewed and emailed to the Administrator.