Routine inspection·July 21, 2022

Licensing Program Analyst (LPA) Kimberly Lyman conducted an unannounced visit for the purpose of conducting a required/ annual visit. LPA was greeted and granted entry into the facility and explained the reason for the visit. Administrator Linda Bolivar arrived during the visit. LPA confirmed Administrator has a current administrator certificate expiring on 02/15/2023. At 8:52 AM, LPA toured the facility with Administrator Linda Bolivar. Facility has 6 residents in care during today's visit with 2 residents on hospice care. LPA observed residents relaxing in the facility. All residents appeared happy and well taken care of. Facility appears clean and sanitary. All resident rooms had the required elements. Facility screens all visitors to the facility and LPA observed the screening/ sanitizing station in the facility however LPA was not screened upon entry. Facility utilizes a hand written visitor sign in sheet. Facility takes resident and staff temperatures daily and documents. LPA observed the first aid kit has all required items. Facility has completed the infection control plan and plan to be submitted to licensing. LPA observed an ample supply of emergency food. Smoke detectors tested operational during today's visit and fire extinguishers are mounted and charged. LPA toured the kitchen at 9:10 AM and observed the burners on the cook top are inoperable. LPA observed the shaded outside visitation area including a gated pool. Exit gates are self latching and unlocked. LPA observed the locked medication area. Facility provides activities in the form of exercise and games. Facility has a plan for covid testing residents and staff as needed as well as a plan for isolation and quarantine. LPA reviewed all resident files during the visit and all files have updated emergency information as well as required documents. All residents and staff are vaccinated for Covid-19. LPA consulted with Administrator regarding the importance of ensuring full bed rails are only utilized for hospice residents per physician order as well as the importance of hand washing signs in all facility restrooms.. Based on observations made during today’s inspection, the following deficiency is being cited per Title 22, Division 6, of the California Code of Regulations. Exit interview conducted and a copy of this report was left at the facility.