Routine inspection·February 14, 2023

Licensing Program Analyst (LPA) Cynthia Chan conducted the required annual inspection with the focus of the Infection Control domain. LPA arrived unannounced and was allowed entry by Staff, Gloria Lopez. The administrators, Amanda Palomino and Boris Palomino arrived shortly after to assist with the visit. The facility is licensed for 6 non-ambulatory residents ages 60 and above. The facility has an approved hospice waiver for 4 residents. LPA toured the facility inside and out. There are no pools or bodies of water on the premises. There are a total of 4 bedrooms (3 bedrooms for residents and 1 designated for staff), 2 bathrooms, living room, dining room, kitchen, and detached garage. The backyard has a shaded area with table and chairs for residents to use. Staff are continuing to screen and take the temperature of visitors prior to entering. Staff and clients' temperature are also taken daily and documented. The facility has proper Coronavirus (COVID-19) signage at the main entrance and around the home. Hand washing signs are posted in each of the bathrooms and sink. Sufficient PPE supplies such as N95, surgical masks, gloves, and face shields are stored at the facility. Food supplies for 2 day perishable and a week of non-perishable were observed. Knives and sharps are locked. Cleaning supplies are stored and locked above the laundry machines. The facility has sufficient supplies of soap and paper towels. Medications are centrally stored and locked. LPA reviewed all 4 medications and did not observe any deficiencies. All staff on duty were wearing face masks. Per Administrators, they are still following the strictest COVID-19 guidance and also clean and disinfect at least once a day. LPA did not observe any deficiencies during the visit today. An exit interview was held and a copy of this report was provided to Administrator Palomino.