Routine inspection·July 9, 2021

Licensing Program Analysts (LPAs) Jade Jordan and Ana Soto conducted an unannounced Annual inspection, to ensure infection control measures, to the above facility. LPAs met with Melissa Flores, Executive Director and the purpose of the visit was discussed. Facility is licensed to serve four (4) ambulatory residents, 174 Non-ambulatory residents and 30 bedridden residents. The facility also has an approved hospice waiver to retain 30 residents. LPA's toured the physical plant, checked food service, reviewed staff records and reviewed resident files for medical status. The facility conducted a fire inspection in 06/21. The facility is two story building which consist of the following: the first floor consists of resident rooms, , storage rooms, living room, visitor restrooms, kitchen, dining room. The outdoor perimeter of the building consists of an outdoor shaded area, outdoor garden and a designated smoking area. The second floor consist of an activity room, resident rooms, and storage rooms. Bedrooms had the required furniture, bed linens and closet/drawer space to accommodate each resident comfortably. Resident bathrooms were checked. Toilets and water faucets worked properly, grab bars were secure, shower was free of mold/mildew and a non-skid mat was in place. Resident bath towels, toiletries and personal hygiene supplies were adequately stocked. Common areas were clean and clear of hazards; doorways were free of obstructions. LPAs observed an exposed pipe through a cracked wall in linen closet in the first floor from the top of the ceiling to the floor. There was also exposed wires from a ceiling panel.. LPA observed staff wearing masks, Visitor Log /Symptom screening Log, Designated isolation room, required Covid-19,Postings, 30 day supply of PPE and other required documents, including phone numbers are posting as mandated by the DPH and CCLD. Technical advisory were given for cosmetic repairs in the residents rooms, and one deficiency cited. Under Title 22, Division 6 Chapter 8 Exit interview conducted a copy of this report was provided and Appeal rights .