Routine inspection·July 6, 2021

Licensing Program Analyst (LPA) Lydia Martinez conducted an unannounced visit for the purpose of conducting a Required/Annual visit. LPA Martinez was greeted and granted entry into the facility by Caregiver Orlando De Los Angeles. Administrator Concordia Velasco arrived shortly after and reason for visit was explained.. At 2:15 PM, LPA Martinez toured the facility with Administrator Velasco. Facility has 2 residents in care during today's visit. LPA Martinez observed residents asleep in their room. Both residents appeared to be well taken care of. LPA Martinez met with one resident's family member and stated she was very happy with the care her family was receiving. Facility appears clean and sanitary. Facility screens all visitors to the facility and LPA observed the screening/sanitizing station in the entrance of the facility. Facility utilizes a visitor sign in sheet as well as checking temperature upon entry . Facility takes resident temperatures daily and documents. Facility has COVID-19 precaution postings as well as all required Department postings. LPA Martinez reviewed the Mitigation Plan as well as the facility's COVID-19 prevention plan. LPA observed ample emergency food and water as well as First Aid kit. LPA observed a shaded outside visitation area. Facility has an ample supply of PPE, incontinence, and cleaning supplies. Facility has a plan for COVID testing residents and staff as needed as well as a plan for isolation. Facility rooms are currently single occupancy. Exit interview conducted and a copy of this report was left at the facility.