Routine inspection·October 27, 2021

Licensing Program Analyst (LPA) Ruth Martinez conducted an unannounced visit for the purpose of conducting a required annual inspection. LPA arrived at facility, no answer at the door. LPA called facility number and was informed by Licensee that there are no residents in the facility currently. Licensee arrived shortly after and met with LPA. LPA explained the nature of the visit. LPA Martinez accompanied by Licensee toured the physical plant of the facility. There are no residents in care at the moment. Licensee was approved in October 2020 and never received any residents. LPA observed a check in station in the main entry of the facility. LPA observed required department postings, covid-19 precautionary postings in the facility as well as hand washing signs throughout the facility. All restrooms observed to have ample supply of soap/sanitizer and appeared to be clean. LPA inspected residents’ bedrooms and appeared to be clean and sanitary. All bedrooms observed to have all required components. LPA observed the emergency disaster and evacuation plan posted. Facility has the back-up emergency food and water supply as well as PPE supplies in the attached garage. Facility was observed to be ready in the case facility receives a resident. LPA reminded Licensee to notify LPA when facility admits any residents to the facility. The facility has completed the LIC808 Mitigation Plan, LPA reviewed and approved the plan on today’s visit. LPA emailed the signed and approved plan to the Licensee for their records. Based on the observation 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 the Licensee and a copy of this report was provided to the facility.