Routine inspection·April 15, 2022

Licensing Program Analyst (LPA) Michael Hood arrived at the facility unannounced on 4/15/2022 to conduct a Required-1 Year Inspection utilizing the infection control domain. LPA met with Administrator, Madelyn Rojo, and explained the purpose of the visit. Prior to initiating the annual inspection, LPA completed required COVID-19 testing protocols and the daily self-screening questionnaire for symptoms of COVID-19 infection to affirm no COVID-19 related symptoms. LPA ensured to apply hand sanitizer before entering the facility and the following Personal Protective Equipment (PPE) was worn: N-95 Mask. LPA toured the facility to ensure the health and safety of residents in care. Areas toured include but are not limited to: 3 bedrooms and 1 bathroom for residents, common area, dining room, food supply, garage, and outdoor area. LPA and Administrator completed the infection control domain. During inspection, LPA observed that storage used to hold medications could still be opened when locked. During inspection, facility moved medications to a locked area and storage previously used for medications was repaired. As a result of today's inspection, a deficiency is being cited pursuant to California Code of Regulations, Title 22, Section 87465(h)(2) regarding storage for medications. Deficiency is listed on 809-D. Exit interview was conducted with Administrator. A copy of this report and appeal rights were provided. The Administrator’s signature on these forms acknowledges receipt of these documents.