Routine inspection·August 30, 2021

Licensing Program Analyst (LPA) Ruth Martinez conducted an unannounced visit for the purpose of conducting a required annual inspection. LPA was greeted and granted entry into the facility by Adriana Abrudan, Administrator and explained the nature of the visit. LPA Martinez accompanied by Administrator toured the facility. There are five residents in the facility and there are no active covid-19 cases. LPA observed three resident in the dinning room having lunch and two resident in their bedrooms. All residents appeared clean and well taken care of. LPA observed required department postings, covid-19 precautionary postings in the facility as well as hand washing signs in the restrooms. All restrooms observed had ample soap/ sanitizer and appeared clean. Resident bedrooms appeared clean and sanitary and had all required components. LPA Martinez observed a check in station in the main entry of the facility. Facility is taking residents and staff temperatures daily and documenting results. LPA observed the emergency disaster and evacuation plan. Facility has back-up emergency food and water supply as well as PPE supplies. Facility has completed the LIC808 Mitigation Plan and LPA Martinez approved the plan on site. 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 Administrator and a copy of this report was provided and left at facility.