Routine inspection·December 7, 2021

Licensing Program Analysts (LPA) Angel Ascencio arrived at the facility unannounced to conduct a required annual visit at 1:33 p.m. This annual had a specific emphasis on infection control practices and procedures. The LPA met with staff member Sean Beharry and discussed the reason for the visit. Entrance interview conducted. The LPA, along with Staff member , toured the physical plant areas inside and outside at 1:40 p.m. to ensure there are no health and safety hazards and the facility is in compliance with Title 22 Regulations. BEDROOMS: The LPA observed the resident bedrooms, which were furnished appropriately with clean linens, appropriate furnishings and sufficient lighting. There are 25 (twenty-five) total bedrooms for resident use – seventeen (17) are shared rooms and eight (8) are private rooms. RESTROOMS: Public and resident restrooms are clean and sanitary and in operating condition with grab bars and non-skid surfaces. LPA observed sufficient amounts of soap and paper products in each restroom. Hand washing posters were not observed in any restroom. LPA advised staff to post the required postings in all restrooms. Water temperature were also checked in five (5) random rooms and restrooms, 4 out of the 5 restrooms were between 105.0 and 120.0 degree F. LPA advised staff to turn up the water temperature in the one (1) public restroom as water temperature read 96.3 degrees F. COMMON SPACES: In the common areas, walls and flooring were checked for cleanliness and good condition. At the time of the visit, common seating area and dining room furniture was observed to be in good condition. Chairs were observed to be at least 6 (six) feet apart for social distancing. The LPA observed some required postings in the common hallway. LPA advised to add additional posting in other parts of the buildings for consistency. Fire extinguishers were observed to be serviced within the last year. Continued on LIC 809 C The courtyard has an outdoor area equipped with furniture for resident use. There were no bodies of water noted. Laundry room and storage room contained a locked storage cabinet for laundry supplies. A second (2) storage room was observed locked and contained the emergency food supply. Smoke detectors were tested and observed to be in good operation at the time of visit. KITCHEN : Kitchen appliances were in operable condition. The facility has a sufficient supply of perishable and non-perishable food. All knives and cleaning supplies were observed to be locked and properly stored at the time of the visit. INFECTION CONTROL: During today’s visit, the LPA spoke with the staff member regarding the facility’s infection control practices at 2:50 p.m . There is only one (1) entry into the facility. Upon entry, the facility has a central point for symptom screening. LPA noted that the facility is allowing visitors for both indoor and outdoor visitation. The LPA observed an adequate supply of Personal Protective Equipment (PPE) and the facility is able to obtain additional supplies as needed. The LPA also observed an adequate supply of medication. 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’s policies and procedures as it pertains to infection control are adequate. The following recommendations were made: - Post hand washing posters in all restrooms. - Post PINs and educate staff, residents, and families on changing policies and procedures from the Department - Post COVID - 19 and cough etiquette poster around the community. 1 citations were issued during today’s visit. 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. Copy of the report and appeal rights provided to admin via email.