Routine inspection·August 25, 2021

Licensing Program Analyst (LPA) Yolanda Delgado made an unannounced visit to the facility to conduct an annual inspection with an emphasis on infection control. LPA arrived at 10:15 AM, LPA was met by Caregiver Adam Barone and explained the purpose of the visit. Present in the facility during time of visit were one (1) staff as well as zero (0) residents. There are currently no cases of COVID-19 within the facility. During today's visit, LPA toured the facility to verify any residents residing in the four bedrooms and two bathrooms, garage and no residents present. Caregiver advised that all questions on the Infection Control tool would need to be answered by the Administrator Caroline Armstrong. LPA left several messages for Administrator to return phone call. LPA observed proper signage throughout the facility and sufficient hand hygiene supplies. Bedrooms designated for residents contained hospital beds, incontinence supplies and clothing. There are insufficient PPE supplies. Caregiver advised the residents have passed away and the last resident in the home was a couple of weeks ago but has passed away. LPA obtained the names of the residents five (5), one resident was relocated to the facility in Redlands. Based on the observations made during today’s visit, no deficiencies were 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.