Routine inspection·April 5, 2022

Licensing Program Analyst (LPA) Joscelyn Martinez conducted an unannounced annual inspection. Upon arrival LPA met with staff and later met with Administrator John Mallon. The purpose of the visit was explained. At 12:25 p.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/Kitchen: LPA Martinez observed there was sufficient stock of one-week non-perishable foods and two-day perishable foods. Sharps and medications are centrally stored in a locked area. At 12:39 p.m. LPA observed cleaning chemicals accessible to residents under the sink cabinet. Staff took the chemical and properly stored them to keep them inaccessible to residents. Smoke detectors/carbon monoxide are located throughout the facility and are hardwired. Smoke detectors and carbon monoxide detectors were tested at 1:00 p.m. and appear to be functional. Fire extinguisher has a purchase date of 05/05/2021. Common Areas: All common areas were observed to be clean and properly furnished. Facility maintains a temperature of 78.0 F. Residents Rooms: There are seven (7) bedrooms which of one (1) is designated for live-in staff use. All 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 three (3) bathrooms in the facility. LPA observed all bathrooms to have grab bars and non-skid mats. The hot water was tested and measured at 109.7 F. At 12:44 p.m cleaning solutions were observed under the bathroom sink. Staff properly stored the cleaning solutions at the time of the visit. Garage: There is an additional laundry room that leads into the garage. The attached garage is being used for additional storage. Garage is locked and inaccessible to residents. Outside areas: LPA toured the outside area of the facility. LPA observed appropriate outdoor furniture, with a covered shaded area for residents. There is a body of water that is kept locked and inaccessible to residents. Pursuant to Title 22 CA Code of Regulations, the following deficiency was cited (refer to LIC 809-D): Exit Interview Conducted / Citations issued/Appeal Rights Discussed / A Copy of the Report Issued.