Routine inspection·May 17, 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 caregiver and LPA explained the nature of the visit. Arlene Fajardo, Administrator arrived shortly after and met with LPA. LPA Martinez accompanied by Administrator began the tour of the inside and outside of the facility. There are five residents in care and there is no active covid-19 case in the facility. Upon entry LPA observed a check in station with temperature checks. LPA observed two residents having breakfast and three residents in living room watching television. All residents appeared to be clean and well taken care of. LPA observed required Department postings, covid-19 precautionary postings in the facility. LPA inspected resident restroom and observed handwashing signs posted and appeared to be clean. Restroom were observed to have all required components as well as soap and sanitation precaution. LPA inspected residents’ bedrooms and they appeared to be clean and sanitary. All bedrooms observed to have all required components. LPA observed facility is taking temperatures daily and documenting the results. LPA observed the emergency disaster and evacuation plan posted. The facility has a supply of emergency food and water in attached garage. PPE supply is stored in attached garage and in facility storage. LPA toured the outside of the facility and observed shaded seating area for the residents’ enjoyment. The facility has completed and submitted the LIC808 Mitigation Plan. The plan was reviewed and approved on March 10, 2021 by the Department. 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.