Routine inspection·April 22, 2022

Licensing Program Analyst (LPA) Ruth Martinez conducted an unannounced visit for the purpose of conducting a required annual inspection. LPA was greeted and granted entry into the facility by Administrator. LPA met with Alexander Gabat, Administrator and explained the nature of the visit. LPA Martinez accompanied by Administrator began the tour of the inside and outside of the facility. There are four residents in care and there are no active covid-19 cases in the facility. LPA upon entry observed three residents in the living room watching TV and remainder of resident in their bedrooms. All residents appeared to be clean and well taken care of. LPA observed a check in station in the main entry of the facility. LPA observed required department postings, covid-19 precautionary postings in the facility as well as hand washing signs in the restrooms. All restrooms observed to have a supply of soap and appeared to be clean. LPA inspected residents’ bedrooms and appeared to be clean. All bedrooms observed to have all required components. Residents bedrooms are all private with one resident per. LPA observed the emergency disaster and evacuation plan. Facility has a supply of back-up emergency food and water supply in attached garage. LPA observed facility to have PPE supplies in storage and throughout the facility in all bedrooms as well as common spaces. LPA toured the outside of the facility and observed several shaded seating areas for resident’s enjoyment. LPA observed a staircase in the outside of the house that leads to the upstairs of the facility. There are no residents residing in the second floor of the facility, second floor is inaccessible to residents in care. The facility has completed the LIC808 Mitigation Plan. The plan was reviewed and approved by the Department on December 20, 2021. Based on the observation made during today’s visit, no deficiencies were noted today in the areas inspected per Title 22 Division 6 of the California Code of Regulations. This report was reviewed with the Administrator and a copy of this report was provided to the facility.