Routine inspection·August 16, 2021

Licensing Program Analyst (LPA) Kimberly Lyman conducted an unannounced visit for the purpose of conducting a required/ annual visit. LPA was greeted and granted entry into the facility by Caregiver Carolina Concepcion and explained the reason for the visit. Licensee's son Lorenzo De Garriz was present and assisted with the visit. At 12:45 PM, LPA toured the facility with Lorenzo De Garriz. Facility has 2 clients present during today's visit. LPA observed clients relaxing in the facility. All client rooms had the required elements as well as restrooms stocked with soap/ sanitizer. LPA did not observe a screening/ sanitizing station in the entrance of the facility nor documentation of temperatures taken for staff or residents. Facility has covid precaution postings but did not observe required department postings. The facility mitigation plan has been completed and is pending approval. LPA observed the first aid kit. At 1:00 PM, LPA observed medication cupboard is unlocked and accessible to residents in care as well as a resident's pre-poured medication box sitting on the dining room table unsecured. Fire extinguishers are mounted and charged. LPA toured the outside grounds and observed the outside shaded visitation area. LPA observed the patio area off the garage is cluttered and unkempt. Facility has a plan for covid testing clients and staff as needed as well as a plan for isolation. All staff and clients are vaccinated for Covid-19. LPA reviewed all resident files and observed emergency information in the file. Resident 1(R1) has a physician report dated 10/11/2016 with a diagnosis of Mild Cognitive Impairment and R(2) has a physician report dated 06/26/2019 with a diagnosis of Dementia. 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 the facility representative and a copy was provided.