Routine inspection·September 2, 2021

Licensing Program Analyst (LPA) Jose Calderon conducted an unannounced Annual required visit with a primary focus on infection control measures. LPA Calderon was met by licensee Mitzi Nakamura and the purpose of today’s visit was explained. The facility is licensed to serve 6 adult clients. There are currently 0 elder residents in care . ambulatory clients. The facility is a 1-story structure with 3 rooms and 3 bathrooms, dining room, living room, kitchen and patio. LPA Calderon and staff toured the physical plant. There is no bodies of water or firearm/ammunition on the premises. All client rooms were checked. and are in good condition, adequate lighting provided, storage for client personal belongings was observed. Walls and floors were in good repair. There is adequately PPE stocked at the time of visit. Bathrooms were found to be within Title 22 regulations and were clean and operational. LPA observed the facility to be clean and appropriately furnished at the time of visit. Storage areas for personal hygiene, cleaning agents, toxins, and sharps were not accessible to clients. Smoke detectors were had wires, Carbon Monoxide was found in the facility and is in working condition. During the visit, LPA observed the facility infection control practices. LPA did observe screening protocols for visitors, staff and residents, sanitizing stations (Located in common areas and restrooms). LPA observed staff were wearing face coverings, an isolation room is confirmed for the facility. LPA observed the facility has a 30-day supply of Personal Protective Equipment (PPE). LPA advised the Administrator to continuously monitor the Centers for Disease Control (CDC) website and Community Care Likening Provider Informational Notices (PIN) for any updates relating to COVID-19 guidance. During today’s visit there was deficiencies under California code of regulation title 22, division 6, chapter 8. Exit interview held and appeal rights provided. A copy of the report was provided to licensee Mitzi Nakamura.