Routine inspection·September 8, 2022

Licensing Program Analyst (LPA) Jeremiah Randle conducted an unannounced Annual required and infection control visit to the above facility. LPA was met by Glenda Moreno House Manager. (3) residents are ambulatory . The facility is a single-story structure located in a residential neighborhood. It consists (3) bedrooms, (1) full bathrooms, and 1/2 bath, shaded back yard, front yard, laundry room and a detached 2 garage. LPA and Glenda Moreno toured the entire facility inside and out. Documents are posted as mandated. Bedrooms 2-3 are occupied by residents and contain the mandated furniture, bedroom 1 is occupied by staff. The bathrooms are clean and operational. First aid kit is fully stocked with manual, smoke detectors and carbon monoxide detector were in compliance and operational. No firearms are stored at facility and no bodies of water present. Medications are stored, locked and inaccessible to residents. Three Residents files are current as well as Medication Record. Staff file of the House Manager is current. Ample supply of perishable and nonperishable food per Title 22, hot water temperature is 115 degrees Fahrenheit, linens and personal hygiene supplies are adequate, sharp items are inaccessible to residents’ however hazardous toxin dish detergent was left out on the counter in the kitchen , 1 fire extinguishers were fully charged. First Aid kit complete and with Manual. Exit, walkways and/or passageways, front and back yard are free of debris and/or hazards. The facility is in good repair. During the visit, LPA observed the facility infection control practices. LPA observed a sanitizing station at the facility entry, visitors are logged, and temperature checked, sanitizer/soap in the staff bathroom and additional sanitation supplies are locked in the garage. LPA observed staff and residents wearing masks, resident private rooms will be converted to isolation rooms (if needed) and required postings throughout the facility. The resident’s temperatures are checked and logged once a day. PPE's are enough for 30 days. A ccording to the Califo rnia Code of Regulations (Title 22, Division 6, Chapter 8), LPA observed the following defici ency and issued a citation noted on 809 D. An exit interview was conducted with Rebekah Jefferson Lead Staff and report provided.