Routine inspection·June 9, 2021

Licensing Program Analyst (LPA) Linda Almaraz conducted an annual required visit at the facility above. LPA met with Administrator Toby Miclat 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 and observed food supply. Facility has submitted a mitigation plan and is approved. The facility is a 5 bedroom, 2 bathroom home located in a residential neighborhood. Facility has a main entry point for screening. All 6 residents bedrooms were toured. Each bedroom had required furniture and equipment. All bathrooms were toured and the toilets, hand washing and shower are safe and sanitary. Bathrooms had hand soap. The food in the kitchen was sufficient supply of 2 days perishable and 7 days non-perishable. The common areas such as living room and dining area are clean and have the required furniture. The backyard has a shaded area and sitting area. Medications are centrally stored, locked along with the records. Carbon monoxide and smoke alarm detectors were tested and working. Water temperature in both bathrooms were within required range of 105-120 degree F. During medication review, LPA observed resident medications were being transferred 7 days in advance onto a different container with several discrepancies on the quantity administered and left. An exit Interview was conducted with the Administrator and a hardcopy was provided.