Routine inspection·June 9, 2022

LPA Spaeth conducted an unannounced visit and was greeted by caregiver (S1). LPA observed S1 was wearing a mask and S1 requested LPA to sign in at the sign in station. LPA's temperature was recorded and LPA observed thermometer, additional masks, hand sanitizer, and sign in sheet were located at the front entrance. LPA and S1 began tour at 2:35 pm. LPA observed the living room where three residents were watching television. The living room had adequate seating. LPA observed the four resident bedrooms. Room 3 contained a bed, linens, night stand, lamp and chair. The staff room was locked. Rooms 1 through 3 also contained the required furniture. LPA observed all four rooms have exit doors and the alarms for exiting the rooms were properly working. The hallway closet contained linens including bath towels and bed linens. There are two bathrooms in the facility. Bathroom 1 contained hand soap, paper towels, and trash can. Bathroom 2 is connected to the master bedroom and currently being remodeled. LPA observed the Bathroom 2 will have a walk in shower in order to accommodate those residents who use a wheelchair. LPA observed a caregiver arrived to the facility at 3:00 pm and was wearing a mask. LPA observed an adequate supply of PPE in storage along with the emergency supply of food and water. LPA observed these items were stored in the locked garage. The garage also contains the washer and dryer along with laundry detergent. LPA was then escorted to the backyard and observed the gate was not locked. Upon entering the facility, LPA was escorted to the kitchen. LPA observed a four day supply of fresh fruits and vegetables in the refrigerator. The freezer section contained frozen meats. The pantry contained a seven-day supply of canned goods and other dry products such as pasta. LPA observed the medications were safely locked in a kitchen cabinet. LPA observed the cabinet underneath the sink was not locked. All cleaning supplies were stored in the cabinet. LPA explained to S1 that based upon the regulations, these items must be locked. At 2:35 pm LPA observed S1 placed a lock on the cabinet. The cleaning were safely locked in the cabinet as of 2: 40 pm. Based upon LPA's observations, a deficiency is hereby issued. Pursuant to Title 22 Division 6 of the CA Code of Regulations, a deficiency was cited (refer to LIC 809-D). Exit interview conducted, Appeal Rights discussed, and a copy of the report was issues to Administrator.