Routine inspection·June 24, 2022

Licensing Program Analyst (LPA) Ashley Smith arrived unannounced to conduct a required annual visit. This annual had a specific emphasis on infection control practices. The LPA met with Administrator Mike Trejo and explained the reason for the visit. KITCHEN: Knives and chemicals are locked inaccessible. Kitchen appliances were in operable condition. The facility has a sufficient supply of perishable and non-perishable food. BEDROOMS: The four resident bedrooms had appropriate furnishings, clean linens and sufficient lighting. The LPA conducted a file review and confirmed that bedridden residents were in the appropriate rooms. RESTROOMS: Restrooms were clean and sanitary with grab bars and non-skid surfaces. The LPA observed hand hygiene signs in all restrooms. COMMON SPACES: The facility maintained a temperature of 76 degrees. The fireplace was appropriately screened. Living room and dining furniture were observed to be in good condition. Required postings were observed in the kitchen and the front door. The backyard had furniture and a covered area for resident use. There was an in ground swimming pool which was appropriately fenced and locked at the time of the visit. INFECTION CONTROL: Whereas is a central entry point for universal screening and temperature checks, the staff did not ask the LPA screening questions nor was the LPA’s temperature taken at the time of the visit. When the LPA first arrived, staff and visitors were not wearing appropriate face masks. There were COVID-19 signs that promoted hand hygiene, physical distancing, and cough/sneeze etiquette. There is sanitizer available for use throughout the facility. The facility’s cleaning protocol is sufficient. This facility has records of staff and resident vaccinations. The facility can designate a single-person room to isolate persons if there is a confirmed case of COVID-19 Staff are up to date regarding guidelines around visitation and vaccine requirements. The Infection Control plan was discussed with the Administrator and it was confirmed that it will be submitted timely. The policies and procedures pertaining to infection control were adequate. The following deficiencies were observed (See LIC 809-D.) and cited from the CA Code of Regulations, Title 22. Exit interview conducted, a copy of the report and appeal rights were issued.