Routine inspection·January 6, 2023

Licensing Program Analysts (LPAs) Avelina Martinez and Pang Lee made an unannounced visit to this facility to conduct an annual required inspection on 01/06/2023. LPAs met with Romeo Apuya and explained the purpose of today's visit. LPAs inspected the physical plant including but not limited to the kitchen, dining room, resident bedrooms; resident bathrooms, laundry room, activity room, and outside courtyard of the facility to ensure compliance with Title 22 regulations. LPAs toured the facility with Romeo Apuya on 01/06/2023 at 2:25 PM. Administrator holds current certificate and expires on 11/01/2024. The facility is licensed for 6 non-ambulatory residents, and has a hospice waiver for 1 resident. There are currently 4 residents who reside at this facility. There are no residents on hospice. The facility has an infection control plan in place, and has covid-19 postings throughout the facility. The facility has one main screening entry point, and furniture is spaced 6 feet apart. The facility smoke and carbon detectors are in good repair. The facility fire extinguisher is in good repair. The facility has an adequate food supply and has emergency food and water kit. The facility has a first aid kit. The facility has a locked medication cabinet, and the facility does not have an updated Centrally Stored Medication and Destruction record for each resident. Moreover, resident and staff files have all the other required documents. The facility also has the required postings through out the facility. The facility is clean, but requires some wall touch ups and garbage on patio needs to be removed, and technical violation was given. The exterior emergency exits are clear of debris. As a result of this visit, the following deficiency was cited, per California Code of Regulations, Title 22 and Health and Safety Code. An exit interview was conducted and 809, 809D, and appeals right were given at the end of visit.