Routine inspection·November 2, 2021

Licensing Program Analyst (LPA) Vasallo conducted an annual required visit. LPA met with House Manager, Jade Robles and explained the reason for the visit. LPA used the infection control tool to evaluate the facility. LPA observed 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 4 resident bedrooms were toured. Each bedroom has a smoke detector, bed, linen, dresser, light, and sufficient closet space. Both bathrooms were toured. Bathrooms have the required grabs bars and non-skid mats. The hot water was 106.5 degrees which is within the required 105 - 120 degrees. The kitchen was toured. All appliances were operating properly. There was sufficient perishable food in the kitchen and garage refrigerators. There were a variety of foods including meats, vegetables, and fruit. There was sufficient non-perishable food in the pantry. The common areas including the living rooms and dining room are clean and have the required furniture. The backyard has a shaded area and sitting area. The facility does not have any cameras inside. LPA reviewed 4 resident files. Files were complete and included appraisals, physician's reports, medical consents, and physician's orders for bed rails. LPA also reviewed staff files to confirm health screenings, fingerprint clearances and training. LPA reviewed 4 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. A copy of the report was provided.