Routine inspection·September 8, 2022

On 9/8/2022 at 3:00 PM, Licensing Program Analyst (LPA) L. Ibo conducted an infection control annual inspection and met with Administrator Nicollete Lake and explained the purpose of the visit. Facility has a completed mitigation plan and copy of infection control plan. LPA observed COVID-19 signage posted in common areas to promote hand washing, cough/sneeze etiquette and physical distancing. Pathways were observed to be free of obstruction and fire hazards. LPA toured the facility including but not limited to bedrooms, bathrooms, kitchen, common area and backyard. The facility consists of 5 total bedrooms which 4 bedrooms are occupied by the residents. There are no bodies of water observed. A comfortable temperature is maintained at 77 degrees F. LPA observed lighting in all rooms are adequate for the comfort and safety of the residents. Residents’ bathrooms are equipped with grab bars and non-skid mats. There is a minimum of 7-day supply of nonperishable and 2-day of perishable foods. Smoke and Carbon monoxide detectors were operational. Infection control designated leader is the Administrator. A certified administrator is on site a minimum of 20 hours a week to oversee proper business operation. LPA observed the following: · Medication accessible to residents in care. Corrected during the visit. Deficiencies are cited from Title 22 California Code of Regulations (see 809D). Failure to submit proof of corrections by plan of correction due dates, and any repeat violations within 12-month period may result in civil penalties. Deficiencies and plan and proof of corrections were discussed with Nicollete Lake, Administrator. Exit interview conducted and appeal rights copy of this report provided.