Routine inspection·July 25, 2022

Licensing Program Analyst (LPA) Martha Arroyo arrived at the facility unannounced to conduct a required annual visit at 10:45 a.m. The last annual conducted at this facility was on 6/21/2021. This annual has a specific emphasis on infection control practices and procedures. The LPA was greeted and scanned at the door by Staff, Al. The Administrator, Mirvat arrived shortly after and was explained the reason for the visit. Entrance interview. At 11:25 a.m., the LPA began the physical plant tour of the common areas, kitchen area, resident bedrooms, bathrooms, and outdoor area to ensure there are no health and safety hazards and facility is in compliance with Title 22 Regulations. KITCHEN: Kitchen appliances were in operable condition. The facility has a sufficient supply of perishable and non-perishable food. The LPA observed knives and sharps in a drawer next to the oven locked and inaccessible to residents. Cleaning supplies and toxins were observed locked in a cabinet under the sink at the time of visit. Fire extinguishers were observed and last serviced on April 2022. BEDROOMS: The LPA observed the resident rooms, which were furnished appropriately with clean linens, furnishings, and sufficient lighting. RESTROOMS: There are five (5) resident restrooms, one in each resident bedroom. Resident bathrooms are clean and sanitary and in operating condition with grab bars and non-skid surfaces. Restrooms are sufficiently stocked with hand liquid soap and paper towels. Bathrooms were measured for hot water, temperatures measured between 105.8- and 140.2-degrees Fahrenheit. The Administrator adjusted water temperature at the time of visit. …Continued on LIC 809C… ...Continued from LIC 809... GARAGE AND GROUNDS : The garage is attached to the house and locked at all times. Cleaning supplies and chemicals are stored and inaccessible to residents in the laundry room. There is one (1) additional refrigerator in the garage with perishable items in good condition. There is a covered patio area with patio furniture including a table and chairs for resident use. Facility has two (2) fence gates that self-latch with clear passageways for emergency exit use. No large bodies of water accessible to residents at the time of visit. COMMON SPACES: The living and dining areas are clean and properly furnished with seating, a table, and television for resident use. The LPA observed Medications locked in cabinets in the dining room at the time of visit. At 11:25 a.m., the LPA observed three (3) residents watching television in the living room. During today’s visit, the LPA spoke with the Administrator regarding the facility’s infection control practices. The LPA observed appropriate signage which promoted good hand hygiene, physical distancing, and symptoms of COVID-19. The facility has a central entry point for symptom screening, temperature checks, and sanitation station. The LPA observed an adequate supply of Personal Protection Equipment (PPE) and the facility is able to obtain additional supplies as needed. Staff were observed wearing face coverings at the time of visit. If needed, the facility has the capacity to self isolate residents if the facility has a confirmed case of COVID-19. The LPA and Administrator discussed staff vaccination requirements. All staff are fully vaccinated. No identified staffing concerns. The facility is in compliance regarding the requirements for indoor and outdoor visitation. The facility’s policies and procedures as it pertains to infection control are adequate. 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. Appeal Rights Discussed. A copy of the report was provided via email.