Routine inspection·April 14, 2022

Licensing Program Analysts (LPAs) Edward Tapia, Celine De Perio made an unannounced required annual inspection in this facility. LPAs met with caregiver Blanca Guerrero and stated the purpose of this visit. AD Thomas Adams arrived during the visit at 1:45pm and provided assistance. The facility is a single level structure and licensed for six non-ambulatory of which 4 are ambulatory. This facility offers Residental Care of the Elderly. About 1:30 PM, LPAs Tapia, DePerio were granted entry. However, they were not asked to complete a the Coronavirus 2019 (COVID 19) screening procedure. For this visit, LPAs observed four clients in care and two staff members on the duty. Upon review of record 1 out 2 staff was not associated to the facility. A Civil Pentaty is being issued today for $100 due to background clearance of staff member 1 was not completed. LPAs toured the interior and exterior portions of the facility. LPA’s notice admin license was not posted by the front door of the facility. Per section 87113 The license shall be posted in a prominent location in the licensed facility accessible to public view. There were three private client's rooms and two rooms were for the administrator. Residents rooms were provided with furniture in good repair, clean linens, adequate storage space, and kept free of tripping hazards. Manual smoke detectors, carbon monoxide, and auditory exit alarms were tested to be operational. Bathroom (1) was observed to be in good repair and provided with hot water was measured at 118.4 degrees Fahrenheit. Bathroom (2) was observed to be in good repair and is for private use for the administrator. Facility met the minimum two day supply of perishable and seven day supply of non-perishable food stock requirements, cleaning supplies were inaccessible to clients in care. LPA's did notice knife drawer was unlocked, but administrator was able to fix the lock. Facility had adequate supplies of personal protective equipment in place. LPA's did recommend Administrator to obtain more mask for staff use. Fire extinguisher was observed. For the exterior portion, facility had outside furniture in good repair; and grounds were free of tripping hazards. LPA observed no shaded area in backyard. License agrees to to get an umbrella. Per section 8721899 (h)(2) Outdoor activity areas which are easily accessible to residents and protected from traffic. Gardens or yards shall be sufficient in size, comfortable and appropriately equipped for outdoor use. Laundry room was in good repair and first aid kits were and locked. Kitchen was in good repair with knifes kept locked. LPA Tapia reviewed the COVID 19 mitigation plan of the facility. LPAs discussed Assembly Bill 665 that requires a licensee of any adult care residential facility that has internet service to provide at least one internet access device, such as a computer, smart phone, tablet or other device, that: can support real-time interactive applications; is equipped with video conferencing technology, including microphone and camera functions; and is dedicated for client or resident use. For this visit, one deficiency was noted in areas observed. One citation was issued. An advisory was issued today. Based on the observations made during today’s visit, deficiencies are being sited per Title 22 Division 6 Chapter 8 of the California Code of Regulations, LPA Tapia conducted an exit interview with AD Tomas Adams and copy of this report