Routine inspection·June 23, 2022

Licensing Program Analyst (LPA) Jerome Haley conducted an unannounced visit for the purpose of conducting a required one year infection control annual visit. LPA was greeted, granted entry by Administrator (AD) Kenneth Hunter. AD Hunter has a current administrators certificate that expires 6/16/23. Around 10:08 am LPA Haley and AD Hunter began a tour of the facility. A two-story structure with three rooms down stairs and three rooms upstairs. Residents reside down stairs and upstairs is off limits to residents. Currently there is one resident in the facility and he was present for todays visit. LPA observed all a screening log book for residents and visitors next to the front door. There was a temperature thermometer, hand sanitizer, and face mask near by. LPA Haley and AD Hunter toured the kitchen around 10:12 am. The knives and sharp objects were locked in a kitchen drawer. All five burners were operational. The facility has a two day supply of perishable food items and a seven day supply of nonperishable food items. All hazardous chemicals were locked in a cabinet near the washer and dryer. LPA Haley observed a locked medication cabinet in the dining room. Around 10:25 am LPA Haley and AD Hunter toured resident rooms and bathrooms. All resident bedrooms were clean, well organized, and had all necessary requirements: night stand, chair, lamp and storage space. LPA Haley observed one resident in his room on his laptop computer, the other resident rooms were vacant. . Bathroom #1 the water temperature measured at 120.2 degrees Fahrenheit, and 120 degrees Fahrenheit in bathroom #2. In the hallway there was plenty of clean linen. LPA Haley took a look in the upstairs portion of the facility and observed AD Hunter's living and office space. Around 10:32 am we toured the back yard and garage area. There was a pool surrounded by a secured fence that meets regulations. The exit gate was self closing and self latching. There was a shad area with a table and chairs. The garage remains locked and inaccessible to the resident in care. CONTINUED ON LIC 809C DATED 06/23/2022 . At 10:42 am smoke and carbon monoxide detectors were tested and operational. The fire extinguisher was observed and charged. Deficiencies cited under California Code of Regulations, Title 22, Division 6, Chapter 8. An exit interview was conducted. A copy of this report along with the appeal rights were provided to AD Hunter.