Routine inspection·December 9, 2021

Licensing Program Analyst (LPA) Vasallo conducted an annual required visit. LPA met with caregiver, Ben Garcia and explained the reason for the visit. LPA used the infection control tool to evaluate the facility. LPA inspected the physical plant, COVID-19 procedures, reviewed residents' medications, observed food supply, and reviewed resident and staff files. Facility has submitted a mitigation plan and the plan has been approved. All resident bedrooms were toured. Each bedroom has a smoke detector, bed, linen, dresser, light, and sufficient closet space. All bathrooms were toured. Bathrooms have the required grabs bars and non-skid mats. The hot water was 107.3 degrees which is within the required 105 - 120 degrees. The kitchen was toured. All appliances were operating properly. There was a sufficient amount of perishable and non-perishable food. The common areas including the living room and dining room are clean and have the required furniture. There is a carbon monoxide detector in the living room. The backyard has a shaded area and sitting area. The facility does not have any cameras inside or outside the home. LPA reviewed all resident files. Files were observed to be complete and had updated emergency contact information. LPA reviewed staff files. Files were complete including but not limited to first aid certificates, health screenings, proof of training, and proof of fingerprint clearance. LPA reviewed all residents' medications. Medications are documented properly and given as prescribed. Per California Code of Regulations, Title 22, there were no deficiencies observed during the visit. Exit interview held. A copy of the report was provided.