Routine inspection·July 12, 2021

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 by Caregiver Imelda Estrella and explained the reason for the visit. At 11:25 AM, LPA toured the facility with Caregiver Imelda Estrella. Facility has 2 residents during today's visit. LPA observed residents relaxing in the facility. All residents appeared happy and well taken care of. Facility appears clean and sanitary. All residents rooms had the required elements as well as restrooms stocked with soap/ sanitizer. At 11:35 AM, LPA observed unsecured prescription and over the counter medications in the unlocked caregiver room. LPA observed the screening/ sanitizing station in the entrance of the facility. Facility takes resident temperatures daily. Facility has covid precaution postings as well as all required department postings. Lawrence Lindsey has an administrator certificate expiring on 12/25/2021. The facility mitigation plan has been completed and approved. LPA observed adequate emergency food and water as well as the first aid kit. LPA toured the outside grounds and observed ample shaded outside visitation area. Exit gate is unlocked and self latching. Facility has a plan for covid testing residents and staff as needed as well as a plan for isolation. All staff and residents are vaccinated for Covid-19. LPA reviewed all resident files which contained all required documentation including updated emergency information. LPA consulted with Caregiver regarding the importance of maintaining a thirty day supply of PPE at all times and documenting all temperatures taken in the facility as well as ensuring all medications in the facility are secured at all times. Additionally, LPA and caregiver spoke on the importance of posted hand washing signs in all restrooms. Based on the observations made during today's visit, deficiencies are being cited per Title 22 Division 6 of the California Code of Regulations. This report was discussed with the facility representative and a copy was provided.