Routine inspection·August 30, 2021

Licensing Program Analyst (LPA) Alma Gonzalez conducted an unannounced Required-1 year visit focusing on COVID-19 Infection Control Practices. LPA met with Administrator Gary Kitt and explained the purpose of today's visit. This is an RCFE with a capacity of 99. The facility is licensed to serve 85 ambulatory residents and 14 non-ambulatory residents. All non-ambulatory residents on the first floor only. The facility has a hospice waiver approved for 15 residents. The following was inspected and toured: entire two story building with 52 rooms with bathrooms in each room, office, lobby, TV Room/ Activity Room, 2 dining rooms, kitchen, storage, laundry and outside patio. The following were observed/inspected: COVID-19 Infection Control Practices (including signs) were observed at the entrance of this facility, and in all common rooms and hallways. Signs are posted throughout the facility to promote hand washing, cough/sneeze etiquette, and physical distancing. Residents are able to use their private accommodations as isolation rooms if they have private rooms and if residents have shared rooms there are designated rooms to be used as isolation rooms if a COVID-19 positive case should arise. 30 day supply of medication reviewed for (9) residents (Resident #1 through Resident #8) Facility has an adequate amount of PPE and facility has enough PPE for 90 days. Residents were socially distanced according to local public health guidelines. Residents wearing masks. Staff responsible for direct care and supervision were observed wearing masks. Sufficient supply of perishable for 2 days and non-perishable foods for 7 days were observed (including paper goods, utensils etc). According to the California Code of Regulations, LPA did not observe any deficiencies, therefore no citations were issued at this time. An exit interview conducted with Administrator Gary Kitt and copy of report provided.