Routine inspection·September 1, 2021

Licensing Program Analyst (LPA) Elizabeth Irra conducted an unannounced Required-1 year visit focusing on COVID-19 Infection Control Practices. LPA was allowed entry by Staff #1 (S-1) and explained the purpose of today's visit. This home consists of 3 bedrooms, 2 bathrooms, living room and dinning area. It has a detached garage. All (5) Residents receive case management services provided by Frank D Lanterman Regional Center. The following were observed/inspected: COVID-19 Infection Control Practices (including signs) were observed at the entrance of this facility, in all common rooms and hallways. Signs are posted throughout the facility to promote hand washing, cough/sneeze etiquette, and physical distancing. All (5) Residents are fully vaccinated. Per caregiver all staff are fully vaccinated. 30 day supply of medication reviewed for (3) residents (Resident #1 through Resident #3) PPE supplies observed inside the home and more stored inside the garage. Incontinence supplies observed inside the home and more stored inside the garage. Sufficient supply of perishable for 2 days and non-perishable foods for 7 days were observed. Residents were socially distanced according to local public health guidelines. Exit interview conducted, a copy of this report and Appeal Rights were provided to caregiver.