Routine inspection·January 10, 2022

Licensing Program Analyst (LPA) Christina Valerio arrived at this facility unannounced to conduct an annual inspection visit. LPA Valerio was screened for COVID-19 symptoms with temperature prior to being allowed inside the facility. Facility staff confirmed zero residents and/or staff have displayed any signs or symptoms of COVID-19 in the last 10 days. LPA was later met by Administrator Aurora Maigue. The physical plant was toured the facility inside and outside to ensure the safety of the residents and compliance with Title 22 regulations. LPA completed the infection control domain tool and discussed the recent PINs relating to COVID vaccines, boosters, and visitation mandates. LPA observed the facility to have COVID-19 informational signs, social distancing signs, hand washing signs posted throughout the facility. A sign in sheet is located at the front of the facility. The facility is able to designated and dedicated a Covid-19 bedroom and bathroom if needed. Facility common areas, rooms, and bathrooms are cleaned once per shift. LPA observed the temperature inside the facility was measured at 70*F, which is within the required range of 68 degrees F and 85 degrees F. The hot water was measured at 114.3*F and 118*F. Facility has nonperishable foods for a minimum of one week and fresh perishable foods for a minimum of two days. LPA observed the centrally stored medications area and cleaning supplies to be locked and inaccessible to clients. First aid kit was observed and fully stocked with necessary items. Resident rooms was sanitary and had the required furniture and furnishings. Smoke and carbon detectors were in good repair. Fire extinguisher is up to date with last check on 01/13/2021. The facility has made an appointment to have fire extinguishers service prior to expiration date. LPA observed an updated LIC 601E, Administrator certificates, liability insurance, and LIC 500 at the facility. Staff documents are up to date and located in the file. 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 with Administrator Aurora Maigue and facility staff.