Routine inspection·March 11, 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 staff and explained the reason for the visit today. Administrator (AD) Maureen R. Salonga arrived at the end of the visit. AD Salonga has a current administrators certificate that expires on 10/24/2022. LPA observed all required postings on the walls throughout the facility. LPA was screened, temperature checked and oxygen levels were taken before entering the facility. LPA observed a screening station at the entrance of the facility. Staff member Audie led the tour of the facility. There were five residents in care at the facility, two were observed on the couch enjoying TV, and two others were observed in their rooms. LPA began the tour checking client rooms and bathrooms. Client rooms were clean, organized and free of clutter. All resident rooms have the necessary elements. Bathrooms were operational and clean. At 1:19 PM in residents room bathroom #1 LPA measured the water temperature at 130 degrees F. At 1:24 PM in Bathroom #2 water temperature was measured at 132.9 degrees F. At 1:30 PM in resident room bathroom #3 LPA measured the water temperature at 131.7 degrees F. The kitchen was clean and well organized. The stove was clean and all four burners were operational. All knives and sharp objects were locked in a drawer, and all cleaning chemicals were locked under the sink. The facility has a two day supply of perishable food items and seven day supply of nonperishable food items. There was a first aid kit equipped with all required items in a locked hallway medication closet. There was a second locked medication closet on the opposite side of the hallway with more resident medication. In the caregiver break room the facility has and adequate supply of emergency PPE. There's also a locked cabinet with discontinued medications. LPA toured the backyard and observed both side exit gates of the house were self closing and self latching. LPA observed a shaded patio area in the backyard with tables and chairs for the residents in care. There were no bodies of water observed. Wired smoke detectors were tested and are operational. LPA consulted AD Salonga, and staff Audie on the importance of keeping an adequate supple of emergency food and water. Based on the observations made during today's visit, deficiencies are being cited per Title 22 Division 6 of the California Code of Regulations. This report was discussed with Administrator Salonga and a copy was provided as well as appeal rights.