Routine inspection·August 24, 2021

Licensing Program Analyst (LPA) Ruth Martinez conducted an unannounced visit for the purpose of conducting a required annual visit. LPA arrived at the facility was greeted and granted entry into the facility by Administrator. LPA met with Nellie Mae Cuddle, Administrator and explained the nature of the visit. LPA Martinez accompanied by Administrator toured the facility. There are two residents in care and no active covid-19 case in the facility. LPA observed residents in their bedrooms. Residents appeared clean and well taken care of. LPA observed a check in station in the main entry of the facility. LPA observed required department postings, covid-10 precautionary postings, and hand washing signs in the restrooms. All restrooms were observed to have soap and appeared clean. Residents bedrooms appeared clean and sanitary with all required components. Facility is taking covid-19 precautionary measures daily. LPA observed the emergency disaster and evacuation plan posted. Facility has emergency food supply, water and PPE supplies. Facility has completed the LIC808 Mitigation Plan and LPA Martinez reviewed/approved the plan on site. Based on the observation made during today's visit, no deficiencies were noted today per Title 22 Division 6 of the California Code of Regulations. An exit interview was conducted, this report was reviewed with Administrator and a copy of this report was provided and left at facility.