Routine inspection·December 7, 2021

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 he nature of the visit. Peter Schenkelberg, Administrator arrived shortly after and met with LPA. LPA Martinez accompanied by caregiver 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. LPA observed all residents to be 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 and hand washing signs throughout the facility. All restrooms observed to have ample supply of soap and appeared to be clean. LPA inspected residents’ bedrooms and they appeared to be clean and sanitary. All bedrooms observed to have all required components. Residents bedrooms are all private bedrooms with one resident per. Facility is taking temperature to visitors and twice a day daily for residents. Facility is documenting the results. LPA observed the emergency disaster and evacuation plan. Facility has an emergency back-up food supply and warter supply stored in the kitchen and attached garage. LPA observed the facility to have PPE supply thought out the facility and in the attached garage. Facility has a second story and there are no residents residing in the second floor. LPA toured the outside of the facility and observed several seating areas for the resident’s enjoyment. The facility has completed the LIC808 Mitigation plan. The plan was approved by the Department on April 10, 2021. Based on the observation made during today’s visit, no deficiencies were noted today 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.