Routine inspection·September 12, 2022

Licensing Program Analysts (LPAs) Andrea Mendivil and Alvaro Ramirez conducted an unannounced visit for the purpose of conducting a required annual visit. LPAs were greeted and granted entry into facility by Administrator Victor Mckenzie and explained the reason for the visit. At 11:22 AM, LPAs toured facility with Administrator Victor Mckenzie. Facility has 4 residents present during today’s visit. Facility is a 4 bedroom, 2 bathroom, single story home with an attached garage. LPAs observed a screening and sanitizing station at entrance of the facility. LPAs observed residents relaxing in the facility. Facility appears clean and sanitary. All resident rooms had required elements, including bed, chair, closet space and ample lighting. Restrooms are stocked with soap and paper towels and have hand washing postings. Facility has 2 refrigerators with ample food supply. LPAs observed facility has emergency food and water supply. LPAs observed unsecured medicine cabinet located in living room. LPAs observed unsecured cleaning supplies underneath kitchen sink. LPAs toured the outside grounds and observed outside visitation area. Exit gates are unlocked and self latching. Facility has a plan for covid testing residents and staff as needed as well as a plan for isolation. . LPAs reviewed all residents’ files and all contained required documentation including updated emergency information. All staff and residents are fully vaccinated for Covid 19. Based on the observations made during today’s visit, deficiencies are being cited per Title 22 Division 6 of the California Code of Regulations. This report was discussed with the facility representative and a copy was provided as well as appeal rights.