Routine inspection·November 29, 2022

On 11/29/2022, Licensing Program Analyst (LPA) Cassie Yang arrived unannounced at the facility to conduct a Required- 1 Year annual. LPA met with Assistant Administrator, Gurdip "Gina" Judge, and explained the purpose of the visit. Additionally, LPA observed the following staff present: Administrator, Surinder Mann, and caregiver, Beverley Rowe. Prior to today's inspection, LPA ensured she applied hand sanitizer and the following Personal Protective Equipment (PPE) was worn: surgical mask. The facility currently has (6) residents and (1) resident on hospice services. The facility has an approved hospice waiver of four (4). LPA and Assistant Administrator toured the interior and exterior of the facility including bathroom, (5) resident bedrooms, caregiver room, laundry room, kitchen, backyard and common area. LPA observed (3) residents to be in the common area, and (2) residents to be in their private rooms. LPA was informed (1) resident was out of the facility for health class. In the areas toured, no immediate health and safety risk were observed. LPA observed the facility to have 2+ days of perishables and 7+ days of non-perishables foods located in the garage. Fire extinguishers was observed to be last serviced on 4/8/2022. LPA observed the facility to have documentation of visitation screening. LPA observed the facility to have the Ombudsman and CCLD posters to be posted in the hallway. LPA observed paper towels, soap and hand washing signs in bathroom. LPA observed the facility to have COVID-19 signs to be posted throughout the facility. LPA observed sharps, toxics and medication to be locked and secured. LPA and Assistant Administrator completed the infection control domain together, and at this time the facility was found to be at substantial compliance. LPA was provided copies of Administrator Certificate, LIC 308 and current Liability Insurance. As a result of today's inspection, no deficiencies were observed. Exit interview was conducted. A copy of report was left at facility.