Routine inspection·December 10, 2021

Licensing Program Analyst(LPA) Nicol Wesley conducted an unannounced required 1 year visit and met with Administrator Thomas Trice and explained the purpose for todays visit. Prior to the visit LPA Wesley conducted a risk assessment for on-site inspections. The facility phone number is 562 633 1285. The facility consist of 6 bedroom (5 for residents and 1 for staff) and 2 bathrooms(1 bathroom for staff and 1 bathroom for residents) , a living room, dining room, kitchen, family room, back yard with an area for shade, and an unattached garage. During the visit the Infection control domain was used and the following areas were observed/inspected: The facility had all postings at the front entrance, bathrooms, and throughout the facility. A Pre screening area with PPE supplies was observed upon entry into the facility. The Administrator advised that a facility mitigation plan was submitted to the department. LPA conducted a complete tour of the facility, and observe the supply of food. Resident medications, and medication logs were reviewed. The smoke detectors/carbon monoxide detector are operable. LPA observed one fire extinguisher in the living room area next to the kitchen. The water temperature was tested and measured at 114 degrees F. LPA Wesley received a copy of the facility mitigation plan report at the time of visit. Administrators certificate for Thomas Trice #6048147740, expires on 12/01/2022. There were no deficiencies cited. Exit interview conducted.