Routine inspection·December 28, 2021

At 1:20pm Licensing Program Analyst (LPA), Angela Panushkina, conducted an unannounced annual inspection at the facility mentioned above. Infection control: Upon arrival, LPA observed COVID-19 signage posted outside on the front door and along the main entrance. Upon entrance, LPA was not screened by staff #1 and was not asked any infection control questions. When LPA asked the staff what their screening procedure for visitors was, the staff stated they just made sure the visitor has a mask on and is vaccinated. LPA explained the reason for the visit and asked the staff to contact the Administrator. Administrator arrived at 2:00pm. At 1:28pm a tour of the physical plant was conducted and LPA observed the following: Kitchen: At approximately, 1:28pm LPA toured the kitchen area and observed enough supplies of staple non-perishable for minimum 1 week and perishable for 2 days at the facility. All knives and sharps are observed to be locked in a kitchen drawer and inaccessible to residents. Smoke detectors/carbon monoxide . Dual smoke and carbon monoxide detectors were located throughout the facility, and at 2:30pm they were tested and observed to be operational. Bedrooms: There are four (4) out of five (5) bedrooms designated for residents use and have sufficient lighting. All bedrooms are properly furnished, clean and have appropriate bedding and linens. Auditory alarms were tested and observed to be operational. Bathrooms: At 1:40pm LPA observed all bathrooms are clean and in good repair. Properly supplied with toilet papers, soap and paper towels. The hot water temperature measured at 119.2°F. LPA observed appropriate grab bar and had non-skid mat. LPA observed appropriate hand washing signs posted in each bathroom. All trash cans in bathrooms had fitted lids to protect from cross contamination . Continue on LIC809-C Common Areas : The facility maintains a comfortable temperature at 76°F. The living room and dining area appeared clean and were properly furnished. No obstructions and or tripping hazards throughout the facility. There is a fire extinguisher in the kitchen area was last serviced on 10/20/2021. Outside areas: At approximately, 1:50pm LPA toured the outside area of the facility. LPA observed appropriate outdoor furniture, with a covered shaded area for clients. There is an in ground pool. The pool has five foot fencing completely surrounding it and is kept locked and inaccessible to residents. LPA discussed the importance of maintaining the care and supervision to meet the needs of residents. The garage: Laundry area is located in an attached garage and kept locked and inaccessible to clients. Extra PPE supplies and food storage was also observed. Medications: At approximately, 1:30pm LPA observed medications are centrally stored and locked in the cabinet, by the kitchen area and inaccessible to residents in care. Administrative: LPA collected Certificate of Liability Insurance and LIC.500. Deficiencies were issued per CA code of Regulations Title 22 or Health and Safety Code. LIC809-D included with this report. Appeal rights discussed and copy of this report provided to the Administrator.