Routine inspection·April 20, 2022

Licensing Program Analyst (LPA) Amy Goldenberg made an announced visit to the facility. The purpose of the visit was to conduct a required annual inspection, with an emphasis on infection control due to the COVID-19 pandemic. LPA was met at the door by caregiver and granted entry into the home. LPA is informed that there are no COVID positive individuals in the home. The facility has an approved mitigation plan on file with this agency. Precautionary Covid-19 postings are present at the front door and at the entry point. There is one entry point designated where sign in procedures and screening will occur. The staff are temperature screening visitors upon entry into the facility. LPA is informed that there are currently four (4) Residents in the home. 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. During this physical plant inspection LPA observed a makeshift bedroom set up in the garage, that included faux walls made of cabinetry and blankets. A bed and personal items were present indicating the area is used as a living/sleeping quarters. Based on observations made during today’s inspection, there is one (1) deficiency being cited per Title 22, Division 6, of the California Code of Regulations. See LIC 809D This report was reviewed with a copy was provided to the facility representative. Appeal rights were reviewed and provided. A civil penalty accompanies this deficiency.