Routine inspection·May 20, 2022

Licensing Program Analysts (LPA) Claudia Gutierrez made an unannounced visit for the purpose of conducting a Required/Annual Inspection. LPA was greeted by staff Tommy Reyes and granted entry into the facility. LPA Gutierrez discussed the purpose of the inspection. During the inspection LPA Gutierrez and staff Reyes, and Administrator (AD) Vilma Trazo arriving at 1:44 PM, conducted a tour of the inside and outside of the facility, common areas, resident rooms, kitchen, garage and observed the following: This is a two-story house with seven bedrooms, and three bathrooms, with staff quarters located upstairs. During the inspection LPA observed one staff and five residents in care. Residents were observed resting in their respective rooms. LPA observed the facility does not have a 30-day supply of PPE on hand; a Technical Advisory was given on this date. LPA observed hallways and walkways were free of obstruction. Upon record review LPA noted emergency care requirements were not met; a Deficiency was cited on this date. LPA reviewed and confirmed facility policies and practices regarding resident screening, staff screening, visitation, COVID-19 surveillance testing, COVID-19 clearance testing, quarantine, isolation, cohorting, infection control training; a Technical Advisory was issued on this date, PPE, staffing and staffing shortages. Based on the observations made during today’s inspection, one deficiency is being cited per Title 22 Division 6 of the California Code of Regulations. An exit interview was conducted, and a copy of this report was left at the facility.