Routine inspection·August 10, 2022

Licensing Program Analyst (LPA) Vasallo conducted an annual required visit. LPA met with Administrator, Tiffany Vander Poorten and explained the reason for the visit. LPA used the infection control tool to evaluate the facility. LPA observed the physical plant, COVID-19 procedures, reviewed residents' medications and records, staff records and observed the food supply. The facility cares for elderly residents and is approved to care for 6 hospice residents. There are currently 3 residents on hospice. All resident bedrooms were toured. Bedrooms have the required bed, bedframe, linen, dresser, light, and closet space. Resident bathrooms were toured and the hot water was 105.4 degrees which is within the required 105 - 120 degrees. Bathrooms have the required grab bars in the shower and near the toilet. There were no toxic chemicals accessible to residents. The kitchen was inspected. There is sufficient perishable and non-perishable food. All the appliances are clean and are operating properly. There is an additional refrigerator in the garage. The common areas include the living room and dining area. These areas are clean and have the required furniture. Facility currently has at least a 30-day supply of PPEs. There are no cameras inside the facility. There is a screening station at the entrance of the facility to screen visitors. Staff document resident and staff temperatures/symptoms daily. Resident files were reviewed to confirm emergency contacts are updated along with physician's reports. Staff files were reviewed to confirm health screenings, infection control training and fingerprint clearance. All files were complete. All residents' medications were reviewed. Medications are documented properly and given as prescribed. Per California Code of Regulations, Title 22, there were no deficiencies observed during the visit. Exit interview held. A copy of the report was provided.