Routine inspection·December 10, 2022

Licensing Program Analyst (LPA), Martha Arroyo arrived unannounced to conduct a Required 1-Year Annual Inspection with focus on Infection Control at 10:30 a.m. The last annual conducted at this facility was on 01/28/2022. Upon arrival, the LPA was scanned and greeted at the door by Staff. The Administrator, Karina Antig arrived shortly after and the reason for the visit was explained. Entrance interview. During today’s inspection, the LPA toured 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 LPA observed a sufficient supply of seven (7) days perishable and two (2) days non-perishable food. All knives and sharps are kept locked in a top cabinet inaccessible to residents in care. Medication and resident files were observed locked in a cabinet next to the sharps. RESTROOMS: There are two (2) resident restrooms. Restrooms 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. Restrooms were measured for hot water; first restroom measured at 145.6 degrees Fahrenheit at 10:53 a.m., and second restroom measured at 147.2 degrees Fahrenheit at 10:55 a.m. The Administrator adjusted the water temperature at the time of visit. Additionally, the Administrator was advised of a civil penalty being assessed today due to this being a repeat violation. ...Report Continued on LIC 809C... …Report Continued from LIC 809... GARAGE AND BACKYARD : The garage is locked and inaccessible to residents. There is one (1) additional refrigerator in the garage with additional food. The LPA observed a sufficient supply of emergency water and food in the garage. There is a patio area with 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 bodies of water observed during time of visit. COMMON SPACES: The living and dining areas are clean and properly furnished with seating, a table, and television for resident use. INFECTION CONTROL: 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. If needed, the facility has the capacity to designate a single isolation room if the facility has a confirmed case of COVID-19. All staff and residents are fully vaccinated and boosted. No identified staffing concerns. Pursuant to Title 22 Division 6 Chapter 8 of the CA Code of Regulations, the following deficiencies were cited (refer to LIC 809-D). The facility was cited for this violation on 01/28/2022. Therefore, a civil penalty of $250 is being assessed today due to a repeat violation. (See LIC 421FC). Exit interview conducted. Appeal Rights Discussed. A copy of the report was provided via email.