Routine inspection·August 19, 2022

Licensing Program Analyst (LPA) Albert Marin made an unannounced required annual inspection to this facility. LPA met with Manager Kevin Mendoza (HM) and stated the purpose of this visit. About 9:39 AM, LPA Marin was granted entry after completing the Coronavirus 2019 (COVID 19) screening procedure. LPA toured the interior and exterior portions of the facility. This facility is a single level structure and licensed for 6 bedridden and with hospice waiver for six. 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 HM . There were six 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 observed to be operational. Bathrooms were provided with handrails; and water fixtures were observed to be in good repair. Hot water was measured at 122 degrees Fahrenheit. Medications, and cleaning supplies were inaccessible to residents in care. 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 doors were 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. Administrator's certificate of Administrator Adriana Mendoza is valid until 04/06/2023. HM 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 HM Mendoza and copy of this report was left in the facility.