Routine inspection·September 3, 2021

On 9/3/21 at 8:30 AM, Licensing Program Analyst (LPA) Malia Thao arrived unannounced to conduct an Annual inspection. LPA explained reason for inspection and was granted entry. Co-Administrator Elena Penarejo arrived a short time later. 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. There are two shared bedrooms. 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 valid. LPA observed the following deficiency: 1. Window screens for bedrooms #1, 2, and 3 are bent, covered in dust/dirt, and in disrepair. Deficiency is being cited based on LPA observations and interviews conducted in accordance with the California Code of Regulations, Title 22, see LIC809D. The following updated forms are to be sent to CCL within 2 weeks: LIC500, LIC400, LIC610E, LIC308 and surety bond. Exit interview conducted. A copy of this report and appeal rights were discussed and emailed to Co-Administrator Elena Penarejo at ebpenarejo@gmail.com .