Routine inspection·July 21, 2022

Licensing Program Analyst (LPA) Jose Villalobos made and unannounced Annual inspection focused on Infection Control. On today’s visit LPA met with Administrator Niculina Serban and Assistant Administrator Felipe De Castro. The purpose of the visit was discussed. As a part of the inspection, LPA used the inspection tool, reviewed (4) resident records, (2) staff files, and (4) resident medications. Currently the facility has (9) residents of which (9) are non-ambulatory. Facility is a one story family home with ten (10) resident bedrooms, two (2) bedrooms for live in staff, 10 (10) bathrooms, living room, kitchen, central air and heating, dining area, laundry room, a shaded area located in the backyard. an attached garage inaccessible to residents. Front and back yard is in good condition at time of visit. Washer/Dryer appliances observed. Toxins and sharps locked and inaccessible to residents. Bedrooms #1-#10 have required furnishing. Bathrooms have a working toilet, wash basin, and shower. Beds have the required linen/supplies which include, pillowcase, mattress padding, fitted sheet, blanket and bedspreads. Supply of hygiene supplies were observed. Fire alarms are interconnected and operational. Required postings observed. Water temperature within required tittle 22 regulations. Last Fire Drill on 7/10/22. Infection control domain completed and there were no deficiencies. An exit interview was conducted and a copy of this report was provided.