Routine inspection·October 12, 2021

Licensing Program Analyst (LPA) Nicol Wesley conducted an unannounced Required 1 year inspection at the facility and met with Administrator Rona Lomeda 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 562 659 8183. The facility consist of five resident bedrooms, two bathrooms(1 for staff), laundry room, family room, dining room, kitchen nurses station and back yard with area for shade, unattached garage(storage). 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. Hand sanitizing gel and masks were located at the entry of each room. A Pre screening area with PPE supplies was observed upon entry into the facility. LPA Wesley 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 kitchen. The water temperature was tested and measured 119.7 degrees F. The mitigation plan was received and approved on 01/18/2021. Administrators certificate for Rona Lomeda #6051556740 expires on 10/06/21. The Administrator is currently waiting for her new certificate to arrive in the mail. There were no deficiencies cited. Exit interview conducted.