Facility Evaluation Report

Licensing Program Analyst (LPA) Arlene Garcia conducted an unannounced annual / Infection Control visit on this date. LPA met with Marinela Placintar, Administrator .

LPA conducted gateway questions prior to visiting facility. AD completed symptom check upon entry and sign in sheets available to document all visitors.

LPA and AD, inspected physical plant including but not limited to the main kitchen, residents bedrooms and bathrooms, and dining/ living room areas.

LPA observed sufficient 7 days non-perishable and 2 days perishable food supplies.. Hot water temperature measured 115.7 degrees in residents bathroom with the AD.

Last Fire Drill conduced dated 05/01/21. Fire extinguisher maintained 7/20/2021.

Fire alarm and carbon monoxide functional. LPA observed sharps and toxins locked.

LPA and AD observed centrally stored medications.

LPA reviewed 2 staff and 6 resident files. LPA observed all staff files complete. Administrator Certificate valid until 6/23/2022.

Staff and visitors enter the facility through ringing the locked front door, sanitizer and thermometer were observed. COVID signs posted in front entry way. Sign in sheets available at entry way. All persons in facility fully vaccinated LPA observed 30 days PPE supply.

LPA observed resident in room sleeping in recliner. File review had no exception on file for recliner use. AD stated they were not aware they needed to request an exception. AD stated resident is on hospice and recliner was brought in 2 weeks ago..

Per California Code of Regulations, Title 22 Division 6, Chapter 8, deficiencies are being cited today in violation of California Code of Regulations. Exit interview held with AD and a copy of report given via email.