Routine inspection·April 12, 2022

Licensing Program Analyst (LPA) Kevin Saborit-Guasch made an unannounced visit to the facility in order to conduct a required annual inspection. LPA arrived at facility, was greeted and granted entry by Raul Constantiono, caregiver after explaining the purpose of the visit and being screened for COVID-19 symptoms. Licensee Lorna Constantino was notified by text message and arrived later to assist with the visit. At approximately 2:00pm, LPA accompanied by caregivers Raul Constantiono and Ferie Abellana toured the inside and outside of the facility. There are currently four (4) residents in care, with one (1) resident currently on hospice. The residents are observed to be relaxing in their bedrooms or in the common areas and appears well taken care of. Bedrooms include all necessary components. Bathrooms are equipped with grab bars and slip mats. Facility appears to be clean, sanitary and free of odors in all areas inspected. Sharp instruments are kept in a cabinet secured by a magnetic lock. Cleaning supplies and toxic substances are securely stored under lock in the attached garage. LPA observed the facility has COVID-19 Precautions posters and required department postings. Facility has an adequate supply of PPE. A LIC808 Mitigation Plan has been submitted on 06/16/2021. LPA observed a sufficient supply of food and water. A 30-day supply of medication is centrally stored and locked in a cabinet. LPA toured the outside of the facility. Outdoor furniture is present for the residents' enjoyment in the backyard. The perimeter gate is self-latching and can easily be opened in an evacuation. Staff present is observed to be correctly associated in Guardian. The Administrator's license is up to date and posted in a central location. CONTINUED ON FORM LIC809-C CONTINUED FROM FORM LIC809 Based on the observations made during today’s visit, no deficiencies are being cited per Title 22 Division 6 of the California Code of Regulations. A Technical Advisory is issued in regards to the storage of cleaning supplies and the absence of hand washing signs. This report was reviewed with facility representative and a copy of this report was provided and left at facility.