Routine inspection·May 27, 2022

Licensing Program Analyst (LPA) Claudia Gutierrez made an unannounced visit for the purpose of conducting a Required/Annual Inspection. LPA was greeted by staff Thelma Chow and granted entry into the facility. LPA Gutierrez discussed the purpose of the inspection. During the inspection LPA Gutierrez and staff Chow conducted a tour of the inside and outside of the facility, common areas, resident rooms, kitchen, garage and observed the following: This is a single-story house with five bedrooms, and two bathrooms, with one bedroom being occupied by staff. During the inspection LPA observed one staff and one resident in care. Resident was observed resting in their respective room. Upon record review LPA noted emergency care requirements were not met, a Technical Advisory was given on this date. LPA observed the facility does not have a 30-day supply of PPE on hand; a Technical Advisory was given on this date. LPA reviewed and confirmed facility policies and practices regarding resident screening; a Technical Advisory was given on this date, staff screening, visitation, COVID-19 surveillance testing; a Technical Advisory was given on this date, COVID-19 clearance testing, quarantine, isolation, cohorting, infection control training, PPE, staffing and staffing shortages. Based on the observations made during today’s inspection, no deficiencies are being cited per Title 22 Division 6 of the California Code of Regulations. An exit interview was conducted, and a copy of this report was left at the facility.