Routine inspection·October 7, 2021

Licensing Program Analyst (LPA) Avelina Martinez made an unannounced visit to this facility to conduct an annual inspection on 10/07/2021 at 10:20 AM. LPA met with Jessica Jarrell and Priscilla Carbonell and stated the purpose of today’s visit. LPA inspected the physical plant including but not limited to the kitchen, dining room, resident bedrooms; resident bathrooms, laundry room, activity room, and outside courtyards of the facility to ensure compliance with Title 22 regulations. The facility is licensed for four non-ambulatory residents and 2 ambulatory residents . There are currently 4 residents who reside at this facility. LPA Martinez toured the facility with the Jessica Jarrell on 10/07/2021 at 10:30 AM. The facility has one main entry screening point. All residents, essential visitors, and other visitors are screened before entering the facility. The screening consists of temperature checks, hand hygiene, and Covid-19 precautionary questions. The facility staff has received donning and doffing training. The facility has a 30 day supply of PPE, and has a designated infection control lead. Facility staff also conduct daily disinfecting cleaning. The facility has Covid-19 postings throughout the facility. The facility is practicing social distancing during meals and activities, and throughout the day. The facility has submitted a LIC 808 Mitigation Plan to Community Care Licensing Department (CCLD). The interior of the facility is sanitary, and the exterior of the facility is clear of debris. The facility fire extinguishers are in good repair. The facility has an adequate supply of food. The facility had a comfortable temperature during the visit. There were no deficiencies observed or cited at this annual inspection visit. An exit interview was conducted, and a copy of this report was given to the facility.