Routine inspection·September 1, 2021

LPA Spaeth conducted an unannounced annual visit to the facility and arrived at 10:30 am. LPA was greeted by Charles Oyibu, staff member who was wearing a mask and requested LPA sign in. Staff member recorded LPA's temperature. LPA explained the purpose of the visit is to conduct a annual visit to the facility. Staff member escorted LPA throughout the facility and LPA observed the COVID sign at the front door, the sign in station with thermometer, sign in sheet, and hand sanitizer. LPA was then escorted to the kitchen and observed the knives and cleaning supplies were locked underneath the sink. LPA observed an adequate supply of fresh vegetables and fruits in the refrigerator along with frozen meats. The pantry was stocked with canned goods. LPA was then escorted to the hallway and observed the medications were securely locked in a cabinet. LPA observed the bathroom which contained wash your hands sign, hand soap, paper towels and a trash can. LPA observed a 90 day supply of PPE which included masks, gloves, hand sanitizer and other items which were stored in a hallway closet. LPA observed the linens were also stored within the hallway closet. LPA Spaeth observed a person mopping the floor and asked Staff member to identify the person in the facility. Staff member stated is a family member visiting the Administrator. Pursuant to Title 22 California Code of Regulations, the following deficiency was cited (refer to LIC 809-D). Exit interview conducted and a copy of the report along with the appeal rights provided to licensee.