Routine inspection·February 27, 2023

Licensing Program Analyst (LPA) Ana Soto conducted an unannounced Annual required and infection control visit to the above facility. LPA was met by Norma Apesto, House Manager and the purpose of today’s visit was explained. There are currently (5) residents in the facility. (1) residents are ambulatory, (3) are non-ambulatory, (1) bedridden. The facility is a single-story structure located in a residential neighborhood. It consists (5) bedrooms, (2 -1/2) full bathrooms, shaded back yard, front yard, laundry room in the attached garage. LPA and Norma toured the entire inside of facility. 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 have grab bars and non-skid mats and are clean and operational included 1/2 bathroom. During the visit, LPA observed the facility infection control practices. LPA observed a sanitizing station at the facility entry & visitors and temperatures are logged and checked, sanitizer/soap and (No-paper towels)are in all the bathrooms and additional sanitation supplies are stored in the garage. LPA observed staff wearing masks, resident private rooms will be converted to isolation rooms (if needed) (No- trash cans with lids in all bathrooms,) (No-cart for PPE’s), (No - mitigation plan posted and/or in folder,) (No - Fit testing completed for staff,) and required postings throughout the facility. Visitor designated area, facility has internet & IPHONE for residents to use, resident’s temperatures are checked and logged (once a day). (No- Emergency plan updated and/or posted); PPE's are enough for 30 days. All residents and staff are vaccinated and boosted According to the California Code of Regulations (Title 22, Division 6, Chapter 8), LPA did not observe any deficiencies, therefore no citations were issued at this time. Technical Advisory (TA) were issued. 1. No fit testing completed for staff 2. No paper towels in 1/2 bathroom. 3. No trash can with lid in 1/2 bathroom. 4. No cart for PPE's. 5. No mitigation plan posted and/or in binder. 6. No emergency Plan posted and/or in binder. An exit interview conducted with Norma Apresto, House Manager and a hard copy of report provided.