Routine inspection·November 2, 2021

On 11/2/21 at 8:45 AM, Licensing Program Analyst (LPA) Malia Thao arrived unannounced to conduct an annual inspection. LPA was met by staff and stated purpose of visit. LPA was granted entry. Administrator (ADM) Paula Cubangbang and Licensee (LIC) Shay Dustin arrived a short time later. A tour of the facility was conducted. COVID-19 guidelines are in place. Facility has one main entrance/exit point. Facility was observed clean and without any obstructions or fire clearance issues. Hand sanitizer was readily available to residents and visitors. Social distancing is maintained in the common and dining areas. Hand washing posters were observed by the bathroom sinks. Bedrooms were checked and no residents share a room. LPA checked residents’ medications and observed the month's supply. Food supply was observed in adequate supply. Cleaning and PPE supplies were checked. Staff records were reviewed for good health. Residents files have updated emergency contact information. Administrator certification is current. The following deficiency was observed: 1. R1's hospital bed observed with two half length bed rails. One from head half length of bed and one from foot half length of bed. Deficiency is being cited based on LPA observations, record review, and interviews conducted in accordance with the California Code of Regulations, Title 22, see LIC809D. Exit interview conducted. A copy of this report and appeal rights were discussed and emailed to email on record with "Read receipt" to confirm receipt of this report.