Routine inspection·August 17, 2022

Licensing Program Analyst (LPA) Albert Marin made an unannounced required annual inspection to this facility. LPA met with Administrator (AD) Mark Fisk and stated the purpose of this visit. About 9:44 AM, LPA Marin was granted entry after completing the Coronavirus 2019 (COVID 19) screening procedure. LPAs toured the interior and exterior portions of the facility. This facility is a single level structure and licensed for 6 non-ambulatory of which one may be bedridden and with hospice waiver for three. On this visit, there was one resident under hospice care. LPA observed six residents in care and two staff members on the floor. LPA toured the interior and exterior portions of the facility with AD M. Fisk. There were one shared and four private resident's rooms, which were provided with furniture in good repair, clean linens, adequate storage space, and kept free of tripping hazards. Smoke, carbon monoxide, and auditory exit alarms were tested to be operational. Bathrooms were provided with handrails; and water fixtures were observed to be in good repair. Hot water was measured at 105 degrees Fahrenheit. Medications, and cleaning supplies were inaccessible to residents in care. Facility met the minimum 2 day perishable and 7 day non perishable food stock requirements. Fire extinguisher was mounted and charged. For the exterior portion, facility had outside furniture in good repair. Grounds were free of tripping hazards. Side exit door was self latching and self closing. LPA reviewed the COVID 19 mitigation plan of the facility. LPA discussed Assembly Bill 665 that requires a licensee of any adult or senior care residential facility that has internet service to provide at least one internet access device, such as a computer, smart phone, tablet or other device, that can support real-time interactive applications; is equipped with video conferencing technology, including microphone and camera functions; and is dedicated for client or resident use. LPA also discussed the California Code of Regulations (CCR) Section 87470 Infection Control Requirements, and CCR Section 87608 Postural Supports. AD's certificate is valid until 01/26/2024. AD was informed to send all incident reports and general correspondence to CCLASCPOrangeCountyRO@dss.ca.gov No citation was issued for this visit. LPA Marin conducted an exit interview with AD M. Fisk and copy of this report, advisory notes, and CCR sections discussed