Routine inspection·September 30, 2022

Licensing Program Analyst (LPA) Andrea Mendivil conducted an unannounced visit for the purpose of conducting a required annual visit. LPA was greeted and granted entry into facility by Caregiver Anabelle Addamo. Administrator Cora Velasco arrived at 10:55 AM. At 10:45 AM, LPA toured facility with Anabelle Addamo, Caregiver. Facility has 5 residents present during today’s visit. Facility is a 5 bedroom, 2 bathroom, single story home with a detached garage. LPA observed a screening and sanitizing station at entrance of the facility. Facility appears clean and sanitary. All residents 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. LPA observed facility has emergency food and water supply. Facility has a secured location for resident medication and files. LPA toured the outside grounds and observed outside visitation areas. 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. LPA observed a 4 weeks supply of PPE. LPA reviewed all residents files and all contained required documentation including updated emergency information. All staff and residents are vaccinated for COVID-19 No deficiencies noted during today's visit. An exit interview was conducted and a copy of this report was left at the facility.