Routine inspection·February 17, 2022

On 2/17/22 at 8:55 AM, Licensing Program Analyst (LPA) Malia Thao arrived unannounced to conduct an Annual inspection. LPA explained reason for inspection and was granted entry. LPA met with Co-Administrator (S1) Joan Aquino. Administrator was unavailable for the inspection. There was one resident present during the inspection. LPA toured inside and outside of the facility with S1. Hand sanitizer was available to residents and visitors. Social distancing is maintained in the common and dining areas. Hand washing posters were observed next to the 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. There were no fire clearance issues. Administrator certification is valid. The following deficiencies were observed: 1. S1 and S2 both do not have health screenings. S1 started 1/2/21 and S2 started 7/12/19. 2. S2 first aid training certification expired 9/27/21. The following updated forms to be sent to CCL within 2 weeks: LIC500, LIC610E, LIC400, LIC402, LIC308, proof of liability insurance Deficiencies are being cited based on LPAs' observations, interview, and records review in accordance with the California Code of Regulations, Title 22, see LIC809D. Exit interview conducted. Due to COVID-19 precautionary measures, a copy of this report and appeal rights were emailed to email on record with "Read receipt" to confirm receipt of this report. LPA verified email on record is correct.