Routine inspection·October 20, 2021

Licensing Program Analyst (LPA) Jose Villalobos conducted an un-announced Annual visit with focus on Infection Control. LPA met with Administrator Sophia Chan. The purpose of the visit was discussed. LPA Villalobos discussed infection control practices with staff, toured the facility inside and out between 10:30am-11:15am, reviewed food supply, reviewed five (5) resident files along with their medications between 11:30am-12:30pm, and reviewed five (5) staff files between 1pm-1:45pm. The facility physical plant consists of a two story building structure that contains the following: First floor consists of resident rooms with individual bathrooms, 1 living room, Dining Rooms, courtyard, 3 offices, medication room, kitchen, and laundry area. Physical plant inside and outside is clean, sanitary and in good repair. The facility second floor consists of the following: resident bedrooms with individual bathrooms, laundry room, outdoor porch seating area, and Activity room. The following was observed: Bedrooms #106 #110 #128 and 202 were observed. All rooms have required furniture and supplies. Facility had an area with locked cabinet for medications. Facility is clean and in good repair. Water temperature met Title 22 Regulations measuring between 105-120 F. .Cupboards, freezer, stove, microwave, refrigerator and counters are clean. Bathrooms for the above mentioned rooms were observed and meet title 22 regulations. There was a 7 day supply of non-perishables available and a 2 day supply of perishables available. Client records inaccessible to unauthorized persons and will be located in a locked cabinet. Emergency disaster plan, personal rights and complaint procedures are posted. First Aid Kit and manual is complete and readily available. Smoke detectors and carbon monoxide detector operate properly and fire extinguishers are properly charged. Working washers and dryers. Working telephone. There are no bodies of water located on the premises. Adequate seating in common areas for licensed capacity. Furniture in all facility rooms appropriate, clean and in good repair. There is an outdoor activity space/ patio with a shaded area and furnished for outdoor use. Visit was completed using the Infection control inspection tool. No deficiencies were cited on todays visit. Exit interview was conducted and a copy of report was provided to Sophia Chan.