Routine inspection (multi-day)·June 15, 2021

Licensing Program Analysts (LPAs) Nicol Wesley and Luis Mora conducted an unannounced Annual Continuation inspection at the facility and met with Licensee Kun (Wendy) Hu and Administrator Jerry Lo and explained the purpose for todays visit. The facility phone number is 562 926 1289. During the visit the Infection control domain was used and the following areas were observed/inspected: The facility had all postings at the front entrance, bathrooms, and throughout the facility. Hand sanitizing gel and masks were located at the entry of each room. A pre-screening area with PPE supplies was observed upon entry into the facility. LPAs conducted a complete tour of the facility. Resident medications, and medication logs were reviewed. The smoke detectors/carbon monoxide detector are operable. LPAs observed 12 fire extinguishers throughout the facility. The licensee and administrator was requested to resubmit the facility mitigation plan report by June 15, 2021, to avoid citations. Administrators certificate for Kun(Wendy) Hu #6000702740 expires on 10/10/2021. During todays visit, LPAs tested the water temperature which measured 118.4 degrees F, and reviewed a random selection of staff and resident files. The facility will arrange for residents to be assessed and provide updated medical assessments for all residents(specifically Residents #1-#4), prior to close of business on 06/18/2021. The following deficiency is being cited in accordance with California Code of Regulations, Title 22, Division (6) and Chapter (8) on the attached LIC 809D. Appeal rights given. Exit interview conducted.