Routine inspection·February 16, 2022

Licensing Program Analyst (LPA) Ruth Martinez is conducting this unannounced visit for the purpose of completing a required inspection. LPA arrived at facility and observed there was remodeling being done to the facility. LPA spoke to the workers and was advised a caregiver was inside. LPA met with the caregiver and was advised there was no residents in the facility since September 2021. LPA advised Administrator that he needs to notify the Department when there are changes in the facility. LPA observed there are no residents in care at the facility. Licensee will contact Community Care Licensing (CCL) to inform of when they are ready to accept new residents or if there are any changes with the license. At this time there were no deficiencies to report in the facility. As noted above, Licensee will contact CCLD once residents are being admitted. In an effort to update the facility file, the Administrator is required to submit to the licensing agency a copy of the following: - An updated Personnel Report (LIC 500). This report was reviewed with administrator and a copy of this LIC809 report was provided