Routine inspection·March 25, 2022

Licensing Program Analyst (LPA) Ruth Martinez conducted an unannounced visit for the purpose of conducting a required annual inspection. LPA was greeted and granted entry into the facility by caregiver. LPA met with Delia Gog, Administrator and explained the nature of the visit. LPA accompanied by Administrator began the tour of the inside and outside of the facility. There are six residents in care and there is no active Covid-19 case in the facility. LPA observed a check in station in the main entry of the facility. LPA observed residents in their bedrooms. All residents appeared to be clean and well taken care of. LPA observed required Department postings, Covid-19 precautionary postings, and hand washing signs in the facility. All restrooms observed to have supply of soap and appeared to be clean. LPA inspected residents’ bedrooms and appeared to be clean and sanitary. All bedrooms observed to have all required components. LPA observed the emergency food supply, water supply and PPE supply in the attached garage. LPA toured the outside of the facility and observed various shaded seating area for residents’ enjoyment. The facility has completed the LIC808 Mitigation Plan, LPA reviewed and approved the plan on today’s visit. 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. This report was reviewed with the Administrator and a copy of this report was provided to the facility.