Routine inspection·March 16, 2022

Licensing Program Analysts (LPA) Jewel Baptiste conducted an unannounced visit for the purpose of conducting the required annual inspection. On today's visit LPA met with S1 and S2 who stated that they currently living at the facility and the facility is not taking residents at this time. Administrator Christine called LPA and confirmed their statement. The administrator stated that S1 and S2 are in the middle of finding another location to live. The administrator stated the reason why their facility is operating is because they must submit documents to the Regional Center, and it will take another year for the regional center to provide clients. Administrator stated she will get clearance and association for S1 and S2. At 10:20 administrator Christine joined the visit. Facility is licensed to serve 6 clients 60 years and over. 6 of which shall be non- ambulatory. Hospice wavier approved for 6. The facility is a single story building in a residential area, with a commercial kitchen, dining room, living room, 6 bedrooms, 4 bathroom and 1 office. The backyard shaded sitting area. Facility has a fire sprinkler system throughout the facility. LPAs discussed infection control practices with administrator, toured the facility inside and out, reviewed food supply. There are no staff files, and resident medications to review due to not accepting residents at this time. Bedrooms have the required furniture including bedframes, dressers, lamps, and chairs. Beds have the required linen and the linen is in good condition. LPA toured the kitchen and observed the facility do not have 7 days of perishables and 2 days non perishable due to the facility not accepting residents at this time. Passageways and exits are free of obstruction. The front and backyard are well maintained. The resident bathrooms are clean, and showers have required grab bars. The hot water temperature measured at 113-114.3 degrees F. The facility temperature at the time the visit was comfortable. There is sufficient lighting throughout the facility. There are smoke detectors located throughout the facility, tested and operational. Carbon monoxide detector was also observed, tested and operational. LPA observed a sufficient supply of PPE in garage. Infection control signs were not observed throughout the facility and sign in station were not observed at the facility. An action plan will be submitted to Licensing regarding how the licensee plan to stay operating and when they will start to receive residents by 3/25/22. Per California Code of Regulations, Title 22, and California Health and Safety Code, there were Technical Advisory observed during the visit. Exit interview held and a copy of the report was provided to administrator.