Routine inspection·February 16, 2022

Licensing Program Analyst (LPA) Jerome Haley conducted an unannounced visit for the purpose of conducting a required one year infection control annual visit. Staff contacted via phone call Administrator (AD) Carmen Rivas who stated she would not be able to attend the visit today. AD Rivas stated caregiver Rosdiana could sign the report today. AD Carmen Rivas has a current administrators certificate that expires on 02/16/2022. LPA observed a screening station equipped with mask, and sanitizer. LPA observed a screening log book, and temperature thermometer for screening clients and visitors. At 10:35am LPA toured the facility with caregiver Rosdiana. There were five residents in care at the facility. All appeared to be happy and well taken care of. LPA began the tour checking client rooms and bathrooms. Client rooms have the necessary requirements, night stand, chair, lamp and dresser. Bathrooms were operational and clean. In Bathroom #1 LPA measured the water temperature at 113.3F degrees. In Bathroom #2 LPA measured the water temperature at 117.5F degrees. The facility had a two day supply of perishable food items and seven days supply of nonperishable food items. There was a first aid kit equipped with all required items. The stove was clean and all four burners were operational. Knives were kept locked in a drawer in the kitchen. All medications were locked in a drawer in the kitchen. All hazardous chemical are locked under the sink. The facility has adequate PPE supply. LPA observed extra linen, emergency food and water supply. LPA toured the backyard and observed both side exit gates of the house were self closing and self latching. LPA observed a shaded visitation area in the backyard equipped with tables and chairs for the residents in care. There were no bodies of water observed. Wired smoke detectors were tested and are operational. Deficiencies were cited under California Code of Regulations, Title 22, Division 6, Chapter 8. A copy of the LIC809d and LIC9102 were explained and provided to caregiver Rosdiana during the visit. An exit interview conducted and a copy of the appeal rights were given to the caregiver at time of visit. A copy of the report was provided.