Routine inspection·November 22, 2021

Licensing Program Analyst (LPA) KaSandra Lopez conducted an unannounced Required 1 - Year inspection at the facility today. The LPA met with Business Office Manager Hannah Robertson at 12:28 PM and explained the reason for today's visit. Administrator Jill Ford was not available for today's visit. Today's annual has an emphasis on infection control practices and procedures. The LPA, along with Hannah Robertson, and Maintenance Director Jace Evans conducted a physical plant tour of the inside and outside of the facility to ensure there are no health and safety hazards and the facility is in compliance with Title 22 Regulations and the Health and Safety Code. Common areas - Upon entry into the facility, there is central screening station for signs and symptoms of COVID-19 and to record contact information. Signs regarding infection control are posted in the common areas and common bathrooms. The complaint poster and other required postings were observed by the resident mail boxes. The smoke detectors and fire system is serviced annually. Fire extinguishers observed were serviced within the last 12 months. Medications are centrally stored in the medication rooms in the memory care unit and on the third floor in Assisted Living. Kitchen/Dining area : The LPA toured the kitchen, and kitchen storage areas with Christian Torres, Director of Culinary Services. The menu was posted. The freezers and refrigerators stored food at the appropriate temperatures. The facility has a sufficient supply of perishable and non-perishable food. Although, the facility did not have any bottled water or any other type of stored water for use in case of an emergency. Resident Apartments : A random selection of 10 resident apartments were observed between 12:55 PM and 2:08 PM. The smoke detectors were tested in each room and were operational. The hot water temperature was tested in apartments 109, 104, 220, 259, 234, 248, 224, 309, 305, and 403 and measured between 114.8 and 120 degrees F. Report continued on LIC 809-C. Resident bathroom showers were observed to have grab bars and non-skid strips. Resident apartments were observed to be furnished appropriately. The signal system was tested and is operational. A tour of the memory care unit located on the second floor was conducted. During the tour at 1:34 PM, the LPA observed the laundry room to be unlocked. In the laundry room there was bleach and other cleaning supplies in an unlocked cabinet. The outside memory care patio was observed which is secured by delayed egress gates. The delayed egress gate was tested and found to be operational. During the inspection, it was observed that Staff #1 (S1) was not associated to the facility. INFECTION CONTROL: During today’s visit, the LPA spoke with the Business Office Manager Hannah Robertson regarding the facility’s infection control practices. There is 1 entry into the facility. Upon entry, the facility has a central entry point for symptom screening. The facility has at least a 30 day supply of Personal Protective Equipment (PPE). 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 LPA requested an updated LIC 610E be submitted. 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. Civil penalties assessed. Failure to correct the deficiencies may result in civil penalties. Exit interview and report reviewed with Ms. Robertson. A copy of the report and appeal rights was emailed.