Routine inspection·March 24, 2022

Licensing Program Analyst (LPA) Talwinder Bains and Licensing Program Manager (LPM) Laura Munoz arrived at the facility unannounced on 03/24/2022 to conduct a Required-1 Year Inspection utilizing the infection control domain. LPA and LPM met with, Administrator(acting)- Claudia Martinez , and explained the purpose of the visit. Prior to initiating the annual inspection, LPA and LPM completed required COVID-19 testing protocols, the daily self-screening questionnaire for symptoms of COVID-19 infection to affirm no COVID-19 related symptoms, and contacted facility to complete a facility risk assessment. LPA and LPM wore the following Personal Protective Equipment (PPE) during today's visit: surgical masks. LPA and LPM were screened by facility staff before entry to facility. LPA, LPM and Claudia toured facility together to ensure the health and safety of residents in care. Areas toured include but are not limited to: kitchen, common areas, five (5) bedrooms, two (2) bathrooms, medication closet, garage, laundry room and backyard. In the areas toured no immediate health, safety, or personal rights violations were observed. During the facility walk thru, LPA and LPM observed an uncleared staff room connected to the garage. This room is not located on the facility sketch nor did the licensee notify CCL of the room conversion. A fire clearance will need to be requested and conducted to clear this room for staff use. LPA and Claudia completed the infection control domain together and facility was found to be in substantial compliance at this time. Deficiencies are being cited today per California Code of Regulations, Title 22 due to the uncleared staff room. Exit interview conducted and copy of report left at the facility.