Facility Evaluation Report

On 02/24/2023 at 1:25PM, Licensing Program Analyst (LPA) C. Fowler arrived unannounced to conduct 1-Year Annual Required inspection. LPA met with lead staff, Allen Gacusan and explained the purpose of the visit. Administrator, Lisset Dizon arrived at approximately 1:40PM.

During the Infection Control Inspection, LPA toured facility including but not limited to front entrance, screening station, hand washing stations, bedrooms, common areas and kitchen. Facility has a sufficient 2-day perishable and one week non-perishable food supply. Visitors policy is posted on the front entrance. There is one central entry point for universal screening for staff, residents and visitors. A sign-in policy, thermometer and hand sanitizer were observed at screening station. Cough/sneeze etiquette, social distancing and hand washing posters were observed. Facility staff were observed to be wearing proper PPE. Facility has a 30-day supply of PPEs maintained at central location and easily accessible for staff. Facility has a mitigation plan and maintains record of routine screening for residents and staff.

LPAs observed the following deficiencies during today's POC visit:

-LPA observed that the side yard gate was locked with a medal hook.

An immediate civil penalty of $500.00 will be assessed on today's date for a (locked gate) Fire Clearance violation 80020(a).

The following deficiencies were observed (see LIC 809D) and cited from the California Code of Regulations, Title 22. Failure to correct deficiencies may result in Civil Penalties.