Routine inspection·March 9, 2022

On March 9, 2022, at 10am, (LPA) De Anna Williams-Lyons made an unannounced visit to conduct facilities required annual inspection. LPA Lyons met with David Magda Licensee, and explained the purpose of the visit. Prior to initiating the visit, LPA completed required COVID-19 testing protocols, and a daily self-screening questionnaire for symptoms of g COVID-19 infection to affirm no COVID-19 related symptoms and completed a facility risk assessment. LPA ensured she applied hand sanitizer before entering the facility and a N-95 mask was worn for Personal Protective Equipment. David and LPA completed the infectious control questionnaire with no issues. LPA inspected the interior and the exterior of the facility including the common living spaces, resident bedrooms and bathrooms, and kitchen. 6 bedrooms were observed, with single occupancy. Bathrooms and bedrooms were clean and in good repair. All bedrooms were observed to have furniture as required. Bathrooms were observed to be in good repair. Food supply is adequate for 2-day perishable and 7-day nonperishable. First aid kit was present and included the required scissors, tweezers, thermometer and guide. Fire alarms, smoke alarms, and carbon monoxide detectors operate properly. Fire extinguisher is maintained and ready for emergency use. Hot water temperature measured at 105 degrees F. Medications were locked away. The living room was observed to be furnished. Washer and dryer is in place and ready for use. There are no pools or bodies of water on the premises. Per the California Code of Regulations, Title 22, Division 6, Chapter 8, no violations were observed during this visit. The administrator shall submit updated copies of the LIC 500 Personnel Report, LIC 308 Designation of Administrative Responsibility, LIC 610E the Emergency Disaster Plan, and copy of current Liability Insurance to update the facility file. Administrator shall submit the listed documents to Licensing no later than April 9, 2022. A copy of this report was given to David Magda.