Routine inspection·July 6, 2021

Licensing Program Analyst (LPA) Salia Walker arrived at the facility unannounced to conduct a required annual visit at 09:28 AM. This annual had a specific emphasis on infection control practices and procedures. The LPA met with Administrator Mike Trejo and explained the reason for the visit. The LPA toured the physical plant areas inside and outside to ensure there are no health and safety hazards. BEDROOMS: The LPA observed the resident bedrooms which were furnished with clean linens, appropriate furnishings and sufficient lighting. RESTROOMS : Resident restrooms are clean, sanitary, and in operating condition with grab bars and non-skid surfaces. LPA advised the Administrators to ensure that bathrooms were stocked with paper towels and hand-washing signs. Restroom one (1) hot water measured 113 Fahrenheit at 10:31AM. Restroom two (2) hot water measured 112.9 Fahrenheit at 10:33AM. 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 properly stored and locked at time of visit. Hot water measured 113.1 Fahrenheit at 10:35 AM. COMMON SPACES: In the common areas, walls and flooring were checked for cleanliness and good condition. At the time of the visit, living room and dining room furniture was observed to be in good condition. The LPA did not observed required postings in the facility. Administrator stated required posting will be updated and displayed. Continued on LIC 809C.. BACKYARD: The backyard has a covered outdoor area equipped with furniture for resident use. The garage contains personal belongings to administrator only. The garage is attached to the facility, but is not accessible. There were bodies of water noted. At 09:37 AM LPA observed, body of water, swimming pool gate was unlocked. Caregiver immediately secured it at the time of observation. LPA advised administrator this poses an immediate health and safety risk. INFECTION CONTROL: During today’s visit, the LPA spoke with the Administrator regarding the facility’s infection control practices. Upon entry, the facility had a central entry point for symptom screening, temperature checks, and sanitation station. LPA observed 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 designate a single isolation room if the facility has a confirmed case of COVID-19. The facility does not have a confirmed case of COVID-19 at this time and the LPA reviewed facility’s policies and procedures as it pertains to infection control. 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. Civil penalties assessed in the amount of $500.00. Exit interview conducted. Today's reports, civil penalty and appeal rights were reviewed and a copy was emailed to the Administrator.