The LPAs, along with Matt, toured the physical plant areas inside and outside at 11:02 a.m. to ensure there are no health and safety hazards and the facility is in compliance with Title 22 Regulations.

BEDROOMS: The LPAs observed the resident bedrooms, which were furnished appropriately with clean linens, appropriate furnishings and sufficient lighting. There are 125 total bedrooms; 111 (one hundred and eleven) are assisted living resident rooms and 14 (fourteen) are in memory care resident rooms.

RESTROOMS: Public and resident restrooms are clean and sanitary and in operating condition with grab bars and non-skid surfaces. The LPAs observed sufficient amounts of soap and paper products in each restroom, as well as hand washing posters. Water temperature were also checked in 5 random rooms, all of which were between 105.0 and 120.0 degree F.

COMMON SPACES: In the common areas, walls and flooring were checked for cleanliness and good condition. At the time of the visit, common seating area and dining room furniture was observed to be in good condition. Chairs were observed to be at least 6 (six) feet apart for social distancing. The LPAs observed the required postings in the common hallway. Fire extinguishers were observed to be serviced within the last year. Smoke detectors were observed to be services within the last.

Continued on LIC 809 - C

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 at the time of the visit.

INFECTION CONTROL: During today’s visit, the LPAs spoke with the Operations Manager regarding the facility’s infection control practices during facility tour at 11:02 a.m. There are 1 entry into the facility. Upon entry, the facility has a central entry point for symptom screening. LPA noted that the facility is allowing visitors for both indoor and outdoor visitation. The LPAs observed an adequate supply of Personal Protective 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.

During facility tour at 11:02 a.m., the Wellness Director room was observed to unlocked and contained various prescribed and over-the-counter medication bottles, pliers, screwdrivers and electronic duster spray that is accessible to resident which poses an immediate health, safety and personal rights violation to persons in care. Operation Manager stated the room is usually looked but perhaps a resident must have just finished using the bathtub. Operations Manager proceeded in locking the Wellness Director room. At 12:06 p.m., room 357 was observed to be unlocked which contained a Tide Laundry soap container, Dawn dishsoap and scissors accessible to resident which poses an immediate health, safety and personal rights violation to persons in care. Operation Manager stated they are unsure of what their diagnosis is and unsure whether the resident can have the supplies in their room. LPAs reviewed resident files at 12:34 p.m. and observed 6 residents with a diagnosis of dementia and cannot have access to hazardous items. The review of the 6 resident physicians report were not current within the last year.

3 citations were issued during today’s visit. The following deficiencies were observed (See LIC 9099-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 were issued today, 11/18/2021 for $250.00 for repeat violation. Exit interview conducted. A copy of the report, civil penalty and appeal rights was provided via email to Operations Manager.