Routine inspection·December 1, 2021

At 9:25 a.m. Licensing Program Analyst Melissa Ruiz 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. Additionally, staff #1 did not take LPA’s temperature. 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. No more information was provided to LPA. At 9:40 a.m., a tour of the physical plant was conducted. Smoke alarms were tested at 10:00 a.m. and function properly. The fire extinguisher was last serviced on 4/19/21. Kitchen: The kitchen appears clean, the appliances and fixtures functional. LPA observed a sufficient amount of perishable and non-perishable food at the facility, all of which were properly stored and labeled. Medications were locked in a cabinet near the kitchen. At 10:17 a.m., knives and detergents were observed to be accessible to residents in care. Staff immediately proceeded to properly store these items. Bedrooms: There were six (6) bedrooms designated for residents' use and one (1) staff bedroom. All bedrooms were clean, properly furnished and had sufficient lighting. Bathrooms: There are three (3) bathrooms, and all are designated for residents' use. Bathrooms were clean, properly supplied and had functional fixtures. Hot water temperature was 117.8 degrees Fahrenheit. Some cleaning supplies were kept in a locked pantry. Common Areas : These included the living room and dining area. The common areas appeared clean and were properly furnished. Surrounding Grounds : Entry/exits were free of obstruction. The outdoor area was clean and free of hazards. There was an outdoor pool in the backyard, which is kept locked and inaccessible to residents. Deficiencies were issued per CA code of Regulations Title 22 or Health and Safety Code. See 809D's included with this report. Appeal rights issued. Report delivered and exit interview conducted.