Routine inspection·June 10, 2021

Licensing Program Analyst (LPA) Avelina Martinez made an unannounced visit to this facility to conduct an annual required inspection. LPA met with Yacub Lucas and explained the purpose of the visit on 06/10/2021. 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 LPA toured the facility with Yacub Lucas on 06/10/2021 at 9:15 AM. Administrator holds current certificate #6051257740 and expires on 02/20/2023. The facility is licensed for 6 non-ambulatory residents. This facility has a hospice waiver for 1. The facility has submitted a mitigation plan to CCLD. The mitigation plan has been approved by CCLD. LPA Martinez reviewed the mitigation plan with Yacub Lucas. One central entry point has been designated for universal entry screening. All visitors, staff, and essential workers are screened for Covid-19 symptoms. The facility has hand sanitizer, and is provided to the residents The facility conducts disinfection cleaning. The facility dining area is sanitary, and dining table chairs are spaced six feet apart. Facility common areas are sanitary, and the furniture is spaced 6 feet apart. The fire extinguisher is in good repair. The facility smoke and carbon detectors are in good repair. The facility exterior patio is fully furnished and sanitary. The facility is in compliance with California Code of Regulations, Title 22 and Health and Safety Code, there were no deficiencies cited at this time. Exit interview was held and a report was given at the end of the visit.