Routine inspection·February 22, 2022

Licensing Program Analyst (LPA) Ruth Martinez conducted an unannounced visit for the purpose of conducting a required inspection visit. LPA was greeted and granted entry into the facility by caregiver. LPA met with caregiver and explained the nature of the visit. LPA accompanied by caregiver toured the inside and outside of the facility. The facility currently has 6 residents in care. LPA observed residents in dinning room having lunch. All residents appeared happy and well taken care of. Facility appears clean and sanitary. Facility staff screens all visitors to the facility and LPA observed the screening station in the entrance of the facility. Facility keeps documentation in regard to covid for all the staff and residents. LPA observed that the facility has covid precautionary postings throughout the facility as well as all required department postings. Facility has an active covid-19 prevention plan in place for the safety of resident in care. LPA observed facility to have emergency food supply, PPE, incontinence, and cleaning supplies. Facility has sanitation precaution in place throughout the facility and all common spaces. LPA toured the outside and observed a shaded outside space for residents, area is used for outdoor visitation as well. Facility has a plan for covid testing residents and staff as needed as well as a plan for isolation as needed. Facility bedrooms are currently single occupancy. LPA was informed that staff have their booster shot and most of resident have their booster shots. The facility has completed the LIC808 Mitigation Plan, LPA reviewed and approved the plan on today’s visit. Based on the observations made during today’s visit, no deficiencies were noted today per Title 22 Division 6 of the California Code of Regulations. This report was reviewed with facility representative and a copy of this report was provided and left at facility.