Routine inspection·April 27, 2022

Licensing Program Analyst (LPA) Christina Valerio arrived to the facility unannounced to conduct a required 1-year annual. LPA Valerio confirmed there are 0 residents or staff that have displayed any signs or symptoms of COVID-19 in the last 10 days. LPA Valerio met with Administrator/Licensee Annie Lyn Rodriguez and explained the purpose of the visit. LPA Valerio completed the infection domain tool. Facility staff are said to clean multiple times per shift. COVID-19 signs regarding social distancing, hand washing, infection control, and prevention strategies are placed at the front area of the home. LPA Valerio toured the physical plant interior and exterior to ensure compliance with Title 22 regulations. All emergency exits were clear from obstructions. A two-day supply of perishable foods and a seven-day supply of non-perishable foods were observes. An emergency supply of food and water was observed. Medication cabinet, cleaning supplies, and sharps were locked away and inaccessible to residents in care. A first aid kit was observed to be fully stocked with necessary items in the medication cabinet. Hot water was measured at 106.1*F. Room temperature was set to 74*F. All required furniture and furnishings were observed in the resident bedrooms and bathrooms. Fire extinguishers were observed to be charged and within compliance with last check on 03/31/2022. The backyard had a large sitting area for residents and/or visitors. During the visit, staff was observed to care for residents needs and assisting with ADLs. LPA requested facility documentation: LIC 610D, LIC 308, LIC 500, Liability Insurance Per California Code of Regulations, Title 22, Division 6, Chapter 8, no deficiencies were observed during this visit. An exit interview was held, and a copy of the report was left at the facility with the Administrator