Routine inspection·May 26, 2022

Licensing Program Analyst (LPA), Farhaan Sarangi arrived unannounced at Garden Home for the purpose of conducting a Required 1 year inspection. LPA was greeted at the door by Care Giver #1, Elsa Bacsal and was granted access into the facility. Upon entry into the facility, LPA observed Care Giver #2 and #3 not wearing a mask (See LIC 809D). Facility Manager, Tom Yuan arrived 30 minutes later. LPA toured the facility with Care Giver #1. Facility was found to be clean and at a comfortable temperature with all exits free from obstruction. Client’s bedrooms, common areas, kitchen & food storage areas were inspected. Fire Extinguisher was found to be last charged on April 2022 at the time of the inspection. Facility smoke detectors and carbon monoxide were found to be functioning properly at the time of the visit. Hot water temperature measured at 105 degrees within Title 22 acceptable regulation of 105 to 120 degrees F in 2 of 2 client’s bathroom while touring facility. There was a supply of both perishable and non-perishable foods as required by Title 22 Regulations. Food stored in the kitchen refrigerator were properly stored as per regulations on this day at the time of the inspection. Toxins are stored in a locked cabinet under the kitchen sink. Dangerous items were stored inaccessible to clients. There was a supply of cleaners, hygiene products and paper products available for clients. The bathroom designated for clients at the facility were supplied with individual paper towels; hand soap dispenser was available. All client’s bedrooms have lighting & appropriate furnishings. LPA advised facility to contact County Public Health and Community Care Licensing immediately if symptoms or COVID-19 + in the facility. Facility has PPE supply stored in the garage. Facility staff has not been N95 Fit tested (See LIC 9102) (Report continued on LIC 809C) LPA requested the following documents to be sent to CCL: LIC 500- Personnel Report LIC 308- Designation of Responsibility LIC 309- Administrative Organization LIC 400- Affidavit regarding Client Cash Resources Updated facility sketch Updated Emergency Disaster Plan (LIC 610D) Surety Bond (if any) Most up-to-date Liability insurance Control of Property Register of Residents The following deficiencies were observed (see LIC 809D) and cited from the California Code of Regulations, Title 22, Division 6 Chapter 8 of California Regulation. Failure to correct the deficiency and/or repeat deficiencies within a 12 month period may result in civil penalties. Exit interview conducted and appeal of rights were provided.