Routine inspection·September 7, 2022

On 09/07/2022 at 11:25 am, Licensing Program Analyst (LPA) C. Fowler arrived unannounced to conduct an Infection Control Inspection. LPA met with Caregiver, Analyn Bravante and explained the purpose of the visit. Administrator arrived at approximately 12:05 pm. Upon entry, LPA temperature was not checked. LPA observed screening station that contained hand sanitizer, masks 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, paper towel, and hand washing posters. During record review, LPA observed visitors log and temperature logs for residents or staff. LPA observed facility has a copy of Mitigation. The following deficiencies were observed during the visit: -At 11:51 am, LPA observed 2 small bedrooms located in the garage. -At 11:54 am, LPA observed a chair, wood, cabinet, seat cushion, table leaf, toilet top, CD holder, ladder, shovel, rake, small oxygen tank located on the side yard. -At 11:56 am, LPA observed chairs, washer and dryer, bed frames, night stand, shower chair, mattresses located behind a shed. Continued on LIC809C. Continued from LIC809 - The deficiencies were observed (see LIC 809D) and cited from the California Code of Regulations. Failure to correct deficiencies by POC date may result in additional Civil Penalties. Exit interview conducted. A copy of this report and appeal rights provided.