Routine inspection·May 10, 2022

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 and explained the reason for the visit. Licensee Jehla Gabriel arrived during the visit. Jehla Gabriel has an administrator certificate expiring on 08/12/2023. At 1:35 PM, LPA toured the facility with Caregiver Dondie Puyeo. Licensee joined the tour in progress. Facility has 4 residents in care during today's visit. LPA observed and spoke with residents in the facility. All residents appeared happy and well taken care of. Facility appears clean and sanitary. All resident's rooms had the required elements as well as restrooms stocked with soap/ sanitizer. Three rooms are single occupancy and one room is currently double occupancy. Facility screens all visitors to the facility and LPA observed the screening/ sanitizing station in the entrance of the facility. Facility utilizes a visitor sign in sheet. Facility takes resident and staff temperatures daily. Facility has covid precaution postings as well as required department postings. LPA observed the emergency disaster plan posted in facility. LPA observed adequate emergency food and water as well as the first aid kit. LPA observed ample food supply in kitchen. At 2:00 PM, LPA observed unsecured Tylenol and eye drops in an unlocked kitchen cabinet. LPA toured the outside grounds and observed the shaded outside visitation area. Exit gate is unlocked and self latching. Garage door is unlocked and LPA observed unsecured paint, Windex, and lighter fluid. LPA observed a free standing back house in the yard occupied by a tenant. The front door of the back house is unlocked and LPA observed unsecured medication. LPA verified tenant is criminally cleared and associated to facility. LPA observed the locked medication storage area. Facility has ample supply of surgical masks, N95 masks and gloves as well as cleaning supplies. 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 four resident files and all files have updated emergency information. 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 Administrator and a copy was provided as well as appeal rights.