Routine inspection·May 27, 2022

Licensing Program Analyst (LPA) Jenifer Tirre conducted an unannounced visit for the purpose of conducting a required annual visit. LPA was greeted and granted entry into the facility by staff and explained the reason for the visit. During the visit LPA toured the facility with Caregiver Ed Merced. Facility is a 5 bedroom (4resident rooms, 1 staff room) and 2 bathroom single story home. There are 5 Residents in care. LPA observed proper covid signage at front entrance of facility as well as sanitization temperature check station. Facility has required Department postings. LPA observed copy of Administrators Certificate expiring 8/15/2022. LPA toured all Residents rooms, all rooms where within regulations. All restrooms observed contained a working wash basin, soap, toilet paper and paper towels. LPA observed an outside visitation area with ample seating and shading. Residents were observed relaxing in the Living room listening to music and relaxing inside bedrooms. Facility has audible alarm system and smoke detectors. Facility has 1 fire extinguisher which is fully charged. Facility has emergency food and water supply. Facility has 2 fridges and pantry with ample food supply. Facility has required Emergency Disaster Plan posted inside facility. Facility has a secured location for resident medication and files. Residents have a 30 day supply of medications. Facility has a secured location for toxins and hazardous supplies. LPA reviewed resident files. LPA observed 5 of 5 resident files. Resident files have updated Emergency contact info and Physician's reports. No deficiencies noted during todays visit. An exit interview was conducted with Caregiver Ed Merced and a copy of this report was left at facility.