Routine inspection·May 5, 2022

On 05/05/2022 at 10:50AM, Licensing Program Analyst (LPA) L. Hall arrived unannounced to conduct an Infection Control Inspection. LPA met with Marina Velasquez, Caregiver and explained the purpose of the visit. Upon entry, LPA's temperature was not checked. LPA observed screening station that contained hand sanitizer and COVID signage. LPA toured facility including but not limited to common areas, bathrooms, bedrooms, kitchen, garage and backyard. LPA observed cough etiquette and physical distancing posted in the common areas. All hand washing stations were equipped with soap and paper towel. Hot water temperature in the shared clients’ bathroom was measured at 107.9 degrees Fahrenheit. Fire extinguisher was last serviced on 6/26/2021. During record review, LPA observed facility has a copy of Mitigation Plan on file. LPA observed PPE, food, and paper supplies are sufficient. The following forms are to be updated and submitted to CCLD by 5/12/2022 : -LIC500 Personnel Report -LIC308 Designation of Administrative Responsibility Continued on LIC9099C Continued from LIC9099. -LIC610E Emergency Disaster Plan -An updated copy of Administrator certificate The following deficiencies were observed: -At 11:21AM, LPA observed a monitor sitting on kitchen counter top monitoring resident in bedroom #1. The following deficiency were observed (see LIC809D) and cited from the California Code of Regulations, Title 22. Failure to correct deficiency may result in Civil Penalties. Exit interview conducted. Appeal Rights and a copy of this report provided.