Routine inspection·December 8, 2022

Licensing Program Analyst (LPA) Alberto Lopez conducted an unannounced Required One (1) year - Inspection to this facility. Upon arrival, LPA met with staff Susanna Hayrapetyan who assisted with the visit. Shortly after Administrator Christine Lekhlyan arrived. The purpose of the visit was explained. The facility is licensed to serve 6 (six) non-ambulatory residents. Hospice Waiver for (3) three residents. Residents receive services from the Frank D. Lanterman Regional Center. LPA used the infection control tool to evaluate the facility. LPA inspected the physical plant, COVID-19 procedures, ,. Facility has submitted a mitigation plan and the plan has been approved. Last fire drill was 10.28.2022 Facility is located in a residential neighborhood and consists of (6) six resident bedrooms, (1) one staff bedroom, (3) three bathrooms, kitchen, living room, dining room, laundry room area, office area. LPA toured the physical plant areas inside and outside to ensure there are no health and safety hazards. LPA observed that the facility does not have a swimming pool or other bodies of water. All indoor and outdoor passageways are free of obstruction. There is only one entrance being utilized at the facility, all required posters were posted at the entrance. Screening area is located immediately upon entrance. Sign in sheet, hand sanitizer, gloves and masks are available. LPA was screened upon entry. Two staff were observed not wearing mask during this visit. Resident bedrooms and bathrooms were toured. All bedrooms were sanitary and furnished with required furniture Room 6 had broken dresser and room 3 had window screen in disrepair. Bathrooms have the required grabs bars and non-skid mats. The hot water temperature was tested throughout the facility and maintained within the range of 106.4 -140*F which is out of range. Hole in the wall behind dryer was observed. The following were observed/inspected: · COVID-19 signs are posted at the entrance. Visitors are screened in the main entrance and a log is kept. · Infection control signs and other COVID-19 signs are posted throughout the facility in the bathrooms, kitchen, and hallway to promote handwashing, cough/sneeze etiquette, and physical distancing. · Facility does not have designated isolation room as clients have private rooms and can isolate there. · common areas, bathrooms, and outdoor physical plant was inspected. · Four (4) centrally stored client medication records were reviewed. · Staff responsible for direct care and supervision were not observed wearing mask initially but put them on during visit. Food supplies for 7 days of nonperishable and 2 days perishable were observed at facility. A posted Emergency Disaster Plan was observed posted at facility. · PPE's were observed. · Staff and resident files were not reviewed during today's visit. · Deficiencies cited per Title 22 Health and safety code, see 809D for details. Exit interview was conducted with Administrator Christine Lekhlyan, A copy of the report and appeal rights were. provided.