Routine inspection·May 19, 2021

On this date, Licensing Program Analyst(LPA) D. Ayers arrived at the facility unannounced to conduct a Required Annual inspection. LPA met with Manager Virginia Jiminez and announced the purpose of the inspection. Manager contacted Licensee/Administrator Elizabeth Moreland, who agreed that Manager would represent the licensee during the inspection. LPA toured the facility inside and outside. All passageways and exits were clear and free from obstruction. LPA and Manager reviewed infection control measures and guidelines. Resident bathrooms were clean and fixtures were functional, with non-skid mats and secure grab bars installed. Outdoor area was free from hazards and provided adequate seating for residents. The fence gate had a self latching mechanism. At 2:00 PM, in the northwestern-most bedroom in which Resident 1(R1) resides, LPA observed multiple deficiencies. There was no light source in the bedroom: the ceiling light fixture had been removed and there were exposed wires protruding from the opening. Two screws were protruding from the wall above R1's bed. At least seven nails with metal picture hangers were also protruding from the wall in various places at chest and head height on the wall. LPA observed there to be significant dust, dirt, and debris under the bed of R1. R1's chest of drawers was broken and chipped in several spots, presenting sharp and jagged edges. See attached 809D for deficiencies cited in accordance with Title 22 California Code of Regulations. A copy of the report was provided to the licensee. Exit interview conducted.