Routine inspection·May 19, 2021

On 5/19/21 at 9:05 AM, Licensing Program Analyst (LPA) Malia Thao arrived unannounced to conduct an annual inspection. LPA was met by staff and Licensee, and stated purpose of visit. A tour of the facility was conducted. COVID-19 guidelines are in place. Visitor log-in/temperature check was observed upon entry. Facility has one main entrance/exit point. Facility observed clean with no obstruction or fire clearance issues. Hand sanitizer was readily available to residents and visitors. Social distancing is maintained in the common and dining areas. Bathroom had trash can with lid and pedal. Hand washing posters were observed by the bathroom sink. Bedrooms were checked and no residents share a room. LPA checked residents’ medications and observed a 30-day supply. Food supply was observed in adequate supply. Cleaning and PPE supplies were checked. Staff records were reviewed for good health and infection control training. Residents files have updated emergency contact information. Administrator certification is current. The following deficiencies were cited: 1. LPA observed garage exit door from kitchen has dead bolt and lock door lever that opens from inside kitchen area to garage area where window solution, bleach, paint can, garden tools, and power tools were accessible. 2. LPA found S1 did not have a health screening and has been working since 5/6/2020. Deficiency is being cited based on LPA observations and interview conducted in accordance with the California Code of Regulations, Title 22, see LIC809D. Exit interview was conducted. A copy of this report and appeal rights were given to Licensee Susan McCarty, whose signature confirms receipt of this report.