Routine inspection·September 27, 2022

At approximately  11:30am, Licensing Program Analyst (LPA) Brian Balisi arrived at the facility unannounced to conduct a required annual visit. LPA was greeted and screened by staff.  LPA met with Licensee Erlinda Gonzales and explained the reason for the visit. This annual had a specific emphasis on infection control practices and procedures. LPA toured the physical plant areas inside and outside to ensure there are no health and safety hazards and facility is in compliance with Title 22 Regulations. At 11:30am, LPA observed (2) staff members not wearing any face coverings while servicing residents in care. LPA observed the kitchen/dining area. Knives were observed stored in a locked cabinet under the sink.  Kitchen appliances appeared to be in operable condition. The facility has a sufficient supply of perishable and non-perishable food properly stored.  Medications were observed stored in a locked cabinet to the right of the fridge inaccessible to residents in care. First aid kits were observed stored in a cabinet at entry way of kitchen. No sharp objects or other items were observed stored with first aid kits at this time. At 11:35am, LPA observed staff member preparing snacks. All Restrooms were observed relatively clean, sanitary and in operating condition with grab bars and non-skid mats. Hot water measured between 105 - 115 degrees Fahrenheit. LPA observed fire extinguishers to be fully charged and last serviced in November of 2021. LPA observed resident bedrooms, which were furnished appropriately with clean linens, appropriate furnishings and sufficient lighting. Inside temperature was maintained at a comfortable level. At 11:45am, LPA observed (4) residents watching television in the living room. Continued on 809-C Continued from 809 Common Areas: These included the living room and dining area. The common areas were checked for cleanliness and furniture was checked for functionality during time of visit. LPA observed cabinet at central entry point to store a sufficient supply of PPE. There is an attached garage that was observed to be locked and inaccessible to residents in care. LPA observed extra medical equipment, medical supplies, decorations as well as (2) extra fridges with perishable food properly stored. Each exit way that led to the outside activated a centralized notification system that would indicate which door sensor was activated. Surrounding Grounds (Outdoors): There was a shaded outdoor area with multiple pieces of  furniture appropriate  for outdoor use in the rear of the facility.  There are no bodies of water on the premises. LPA observed exit ways were free of obstruction at this time. The LPA spoke with Erlinda regarding the facility’s infection control practices. Upon entry, the facility has a central entry point for symptom screening, temperature checks, and sanitation station. The facility has 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 isolate each resident in their private room  if the facility has a confirmed case of COVID-19. COVID-19 testing is conducted weekly if anyone shows any symptoms. The facility’s policies and procedures as it pertains to infection control are adequate at this time. Citations Issued.  See LIC 809D.  Appeal Rights discussed. Exit interview conducted and copy of the report emailed to Administrator.