Routine inspection·April 8, 2022

Licensing Program Analysts (LPAs ) Edward Tapia, Jessica Cho, Celine De Perio and Licensing Program Manager (LPM) Sheila Santos made an unannounced required annual inspection in this facility. LPAs met with lead staff Susana Garcia and stated the purpose of this visit. AD Divina Alipio arrived during the visit at 4:20pm and provided assistance. The facility is a single level structure and licensed for six non-ambulatory of which one is non-ambulatory and 4 ambulatory. This facility offers a Level IV- C&I service. About 3:20 PM, LPAs Tapia, Cho, De Perio and LPM Santos were granted entry after completing the Coronavirus 2019 (COVID 19) screening procedure. For this visit, LPAs observed five clients in care and two staff members on duty. LPAs toured the interior and exterior portions of the facility at 3:45pm. There were four private client's rooms. Residents rooms were provided with furniture in good repair, clean linens, adequate storage space, and kept free of tripping hazards. Manual smoke detectors, carbon monoxide, and auditory exit alarms were tested to be operational. Bathroom (1) was observed to be in good repair and provided with grab bars and hot water was measured at 110.4 degrees Fahrenheit. Bathroom( 2) was observed to be in good repair and provided with grab bars and hot water was measured at 110.1 degrees Fahrenheit. Bathrooms 1 and 2 were observed with exposed razors and staff immediately removed and locked the razors. Facility met the minimum two day supply of perishable and seven day supply of non-perishable food stock requirements, cleaning supplies and sharp items were inaccessible to clients in care. Facility had adequate supplies of personal protective equipment in place. Fire extinguishers were observed. For the exterior portion, facility had outside furniture in good repair; and grounds were free of tripping hazards. Ladders and gardening tools were observed and removed so residents could not access them. Debris from back ally were cleared from obstructions. Laundry room was in good repair and first aid kits were removed and locked. Kitchen was in good repair with knifes kept locked. LPA Tapia reviewed the COVID 19 mitigation plan of the facility. LPAs discussed Assembly Bill 665 that requires a licensee of any adult 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. For this visit, no deficiency was noted in areas observed. No citation was issued. An advisory was issued today. LPA Tapia conducted an exit interview with Administrator Divina Alipio and copy of this report was explained and left in the facility.