Routine inspection·April 11, 2022

Licensing Program Analyst (LPA) Claudia Gutierrez conducted this unannounced required/annual inspection. LPA was greeted by caregiver Ugene and Jennylyn Maget. Administrator (AD) Larry Lindsey was contacted by phone but could not be present stating they were out of town. LPA Gutierrez discussed the purpose of the inspection with AD over the phone and present caregivers. AD stated caregivers would be able to complete inspection. During the inspection LPA and caregivers conducted a tour of the inside and outside of the facility, common areas, resident rooms, kitchen, garage and observed the following: This is a single-story house with five bedrooms and two bathrooms, with one bedroom being used for live-in staff. During the inspection, LPA observed there were 2 staff present and 5 residents in care. Residents were observed relaxing watching tv in the living room and in their respective bedrooms. LPA inspected common areas, resident rooms, kitchen, and garage and observed a 2-day supply of perishables and a 7-day supply of non-perishable food is available. LPA observed hallways and walkways were free of obstruction. Resident files were also review and three of five resident files were found to have incomplete emergency contact information; a deficiency was cited on this day. LPA reviewed and confirmed facility policies and practices regarding resident screening, staff screening, visitation, COVID-19 surveillance testing, COVID-19 clearance testing, quarantine, isolation, cohorting, infection control training, PPE, staffing and staffing shortages. Based on the observations made during today’s inspection, one deficiency is being cited per Title 22 Division 6 of the California Code of Regulations. An exit interview was conducted and a copy of this report was left at the facility.