1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25 | Licensing Program Analyst (LPA) Bruce Jacobs arrived at this facility unannounced to conduct an annual inspection visit. LPA met with care staff and later with Administrator Expectacio Vierra and explained the purpose of the visit. Administrator's Certification # 6002286740 expires 4/12/23.
LPA Jacobs inspected the physical plant including but not limited to the kitchen, dining room, resident bedrooms; resident bathrooms, laundry room, living area, common TV area, and outside yard of the facility to ensure compliance with Title 22 regulations. Facility is an 18-bed facility with a current census of 15. Facility has 9 shared bedrooms. There is an entry way and small lobby area. Facility has a separate dining room and activities room. Facility also has a hair salon and outside courtyard area for visitations. LPA also conducted the infection control domain tool.
The facility submitted a LIC 808 mitigation plan, which was approved. The facility has central entry point and has implemented screening and sign in procedures at the front door area. The facility conducts routine symptom screening for employees, residents, and visitors. LPA observed the facility to have hand washing, COVID - 19 informational, and social distancing signs posted throughout the facility, on the front door, and back yard. The facility has a designated infection control lead. The facility is able to designate and dedicated a Covid-19 room/bathroom if needed. Common touch surfaces are cleaned after each use.
Water temperature reads 112.5 F in the bathroom. LPA observed the facility to have adequate food supply. Resident rooms were sanitary and had the required furniture and furnishings. The facility common areas were clean and furnished. Smoke and carbon detectors were in good repair. Fire extinguisher was checked 4/20/21.FAcility has a built in sprinkler and smoke and heat detectors.
Per California Code of Regulations, Title 22, no deficiencies were observed during this visit. Exit interview was held and a report was given to Administrator Expectacio Vierra. |