Routine inspection·August 11, 2021

At 9:53 a.m. Licensing Program Analysts (LPAs) Melissa Ruiz, Angela Panushkina conducted an unannounced annual inspection at the facility mentioned above. Team was greeted by staff who granted access to the home. This is a 6 bedroom, 2 bathroom single story facility. LPA met with Administrator Nicole Alas and a physical tour was conducted at 10:01 a.m. and observed the following: Infection control: LPA reviewed the facility mitigation plan (approved on 03/13/2021) to make sure licensee was following current infection control recommendations. Upon arrival, staff took LPAs temperatures and was asked to sign-in the visitors log but was not asked any infection control questions. Proper signage was observed inside along the hallway and in the restrooms however signage posted outside was observed to be incomplete. Hand sanitizer was also observed. Administrator stated they have sufficient PPE supplies for residents and staff. LPAs advised the administrator to review their mitigation plan with all staff to ensure all visitors are thoroughly screened upon entry. Food Inspection: LPA observed there to be sufficient stock of one-week non-perishable foods and two-day perishable foods. Food storage and preparation areas are clean and inaccessible to pests. Garbage cans have tight fitting covers in the kitchen. At 10:03 a.m. sharps were observed to be accessible to residents. Administrator went ahead and purchased a toolbox with a lock to store and lock sharps. A receipt of purchase was obtained. Smoke detectors/carbon monoxide are dual and were observed to be operational throughout the facility. Resident room s: There are 5 bedrooms designated for resident use and have sufficient lighting. One bedroom is designated for live-in staff. All bedrooms are properly furnished, cleaned and have appropriate bedding and linens. Auditory alarms are placed on each door. The facility has dementia residents in care. Bathrooms: The hot water temperature measured at 120.3F. LPA observed appropriate hand washing signs posted in each bathroom, grab bars and non-skid mat. Towels and washcloths are not shared. Residents have sufficient amounts of supplies for personal hygiene. At 10:06 a.m. LPA observed cleaning products/chemicals accessible to residents. The garage is attached to the home and was observed to be accessible to residents. At 10:10 a.m. LPA observed cleaning products/chemicals accessible to residents. Laundry service: There is enough linen available to change weekly or more if need. Medications are in a centrally stored and locked. Outside areas: LPA toured the outside area of the facility. LPA observed appropriate outdoor furniture, with a covered shaded area for clients. There are no bodies of water. Deficiencies and Civil penalties were issued per CA code of Regulations Title 22 or Health and Safety Code. See 809D's included with this report. Appeal rights issued. Exit interview conducted.