Routine inspection·July 6, 2022

Licensing Program Analysts (LPA) Amy Goldenberg made an unannounced visit to the facility to conduct an annual inspection with an emphasis on infection control. LPA arrived and observed a hand sanitation and sign in station at the entry of the facility. LPA's temperature was measured upon arrival. LPA learned there are six (6) residents residing in the home at this time. There are no cases of COVID-19 within the facility. The facility has a mitigation plan in place which follows Community Care Licensing guidelines. LPA conducted a brief tour of the facility and made observations pertaining to the facility's infection control measures. The facility was equipped with sufficient hand hygiene supplies, sufficient cleaning and disinfecting provisions, and has a limited supply of Personal Protective Equipment (PPE). LPA discussed the availability of additional PPE supplies to the facility at the time of this visit and advised the facility representatives to contact our office in the event additional supplies are necessary. LPA provided the facility with two boxes of N95 masks during this visit. Based on the observations made during today’s visit, there are no deficiencies being cited per Title 22, Division 6, of the California Code or Regulations. An exit interview to review this report was conducted and a copy of this report was provided.