Routine inspection·July 12, 2022

On 07/12/22 at 11:30 a.m Licensing Program Analyst (LPA) Joscelyn Martinez conducted an unannounced annual inspection. Upon arrival LPA met with staff and later met with Administrator Rosemarie Decenario. The purpose of the visit was explained. At 11: 35 a.m. LPA conducted a physical tour of the facility. Infection Control: Covid-19 infection control signage were observed outside of the facility. Proper signage was also observed inside in the common areas. Upon entrance, staff took LPA’s temperature and was asked to sign-in the visitor’s log. Facility has sufficient PPE supplies for more than 30 days. Food Inspection: LPA Martinez observed there was sufficient stock of one-week non-perishable foods and two-day perishable foods. Medications are centrally stored in a locked kitchen drawer. Kitchen is sanitary and free of pests. Smoke detectors/carbon monoxide are located throughout the facility. Carbon monoxide detector was tested at 11:46 a.m and is functional. Smoke detectors were tested at 11:57 a.m and are functional. Fire extinguisher has a purchase date of 05/22/2022. Common Areas: All common areas were observed to be clean and properly furnished. Facility maintains a comfortable temperature of 77.0 F. Chemicals are kept in a locked closet located in the hallway. Residents Rooms: There are (5) bedrooms of which four (4) are designated for resident use. Facility has one live in staff. Laundry area is accessible through staff room. All the five (5) bedrooms were toured and appear to be clean and properly furnished. LPA observed additional bedding and linens sufficient for all of the residents. Bathrooms: There are two (2) bathrooms in the facility. LPA observed all bathrooms to have grab bars and non-skid mats. The hot water was tested and measured at 130.0 F. Administrator lowered the water temperature at the time of the visit. Outside areas: LPA toured the outside area of the facility. LPA observed appropriate outdoor furniture, with a covered shaded area for residents. There are no bodies of water. Facility does not have a garage. Pursuant to Title 22 Division 6 Chapter 8 of the CA Code of Regulations, the following deficiency was cited (refer to LIC 809-D): Exit Interview Conducted / Appeal Rights Discussed / A Copy of the Report Issued.