Routine inspection·May 26, 2021

Licensing Program Analyst (LPA) Vasallo conducted an annual required visit. LPA met with Laura Aguilar, Co-Administrator and explained the reason for the visit. LPA used the infection control tool to evaluate the facility. LPA observed the facility plant, COVID-19 procedures, reviewed residents' medications, observed food supply, and reviewed staff files. Facility has submitted a mitigation plan and it is currently under review. Staff were observed using the visitor assessment procedures. All 4 resident bedrooms were toured. Each bedroom has a smoke detector, bed, linen, dresser, light, and sufficient closet space. There is a carbon monoxide detector in the dining room. All bathrooms were toured. Bathrooms have the required grabs bars and non-skid mat. The hot water was 110 degrees which is within the required 105 - 120 degrees. The sinks are stocked with soap, hand sanitizer and paper towels. The kitchen was inspected. There is sufficient perishable and non-perishable food. The refrigerator in the kitchen is well stocked with vegetables and meats. There is fruit on the counter and kitchen cabinets are stocked with canned goods. There is another refrigerator in the garage that has additional food. All the appliances are cleaning and working properly. The common areas such as living room and dining room are clean and have the required furniture. The back yard has a sitting area for residents. Visitors are being allowed to conduct visits inside or outside the home. LPA reviewed 3 resident files to confirm emergency contact is updated. Staff files were reviewed to confirm staff have health screenings and fingerprint clearances. LPA reviewed 3 residents' medications. Medications are documented and stored properly in locked kitchen cabinets. Co-administrator was notified the annual fees are not current. Co-administrator will follow-up regarding annual licensing fees. Per California Code of Regulations, Title 22, there were no deficiencies observed during the visit. Exit interview held and a copy of the report was provided.