Routine inspection·March 21, 2022

Licensing Program Analyst (LPA's ) Ana Soto and Jeremiah Randle conducted an unannounced Annual required visit and an infection control inspection to the above facility. LPA was met by Gloria Somintac and later spoke with Stephen Gradney via telephone and the purpose of today’s visit was explained. There are currently (4) residents in the facility . (0) residents are ambulatory and (4) are non-ambulatory and bedridden. The facility is a single-story structure located in a residential neighborhood. It has a ramp that goes along the east and west side of the facility. The facility consists (5) bedrooms, (2) full bathrooms, shaded back yard, front yard, laundry room and attached garage. LPA's and house manager toured the entire facility inside and out. Documents are posted as mandated. Bedrooms 1-4 are occupied by residents and contain the mandated furniture. Bedroom 5 is a staff bedroom. The (2) bathrooms are clean and operational. First aid kit complete with manual; smoke detectors and carbon monoxide detector are inter-connected 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. 2 staff files were complete and current. 2 resident files were complete and current. 1 resident mars was not signed for their daily doses. 1 resident mars was complete and current Ample supply of perishable and nonperishable food, hot water temperature is 115 degrees Fahrenheit, linens and personal hygiene supplies are adequate, hazardous toxins and/or sharp items are inaccessible to residents, 1 fire extinguisher is fully charged on counter next to kitchen. 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 clients wearing masks, residents’ private rooms will be converted to isolation rooms (if needed) and required postings throughout the facility. The facility has an approved Mitigation plan. The resident’s temperatures are checked and logged twice a day. PPE's are enough for 30 days. According to the California Code of Regulations (Title 22, Division 6, Chapter 8), LPA observed the following deficiency and issued a citation. An exit interview conducted with Gloria Somintac, House Manager and a hard copy of report provided along with Appeal Rights.