Routine inspection·November 2, 2021

Licensing Program Analyst (LPA) Sabrina Calzada arrived unannounced to conduct a required annual. LPA met with Emidio Arreola, caregiver. Administrator, Cornelia Cata, arrived shortly to the facility and LPA explained purpose of inspection. Prior to initiating today's inspection, LPA completed required COVID-19 testing protocols and confirmed the facility does not currently have any positive Covid-19 diagnoses. Additionally, LPA was screened per Covid-19 precautionary measures upon entering the community. LPA ensured she applied hand sanitizer before entering the facility and the following Personal Protective Equipment (PPE) was worn: surgical mask. Facility currently has (6) residents and (2) residents are on hospice. LPA observed (5) residents to be in their rooms and (1) resident watching television in the common area. Facility has (2) live-in caregiver staff. LPA and Administrator toured the interior of the facility. LPA observed it to be clean and in good repair. LPA observed various Covid posters throughout- LPA to send additional posters. Rooms toured include (6) private bedrooms with half/full bath, kitchen, laundry, staff room and common areas. In the areas toured no immediate health, safety, or personal rights violations were observed. LPA, Administrator and caregiver completed the infection control domain and facility was found to be in compliance at this time. Inside temperature was observed to be 74* F. Fire extinguisher last serviced 1/14/2021. LPA observed sufficient 2+day perishable and 7+day non-perishable food. LPA observed paper towels, soap, sanitizer and trash cans with lids in the bathrooms. Sharps, toxins and medications are secured appropriately. LPA and Administrator discussed vaccination status of residents and staff. LPA requested an updated copy of LIC308 and obtained a copy of the current liability insurance and Administrator certification. There were no deficiencies observed during today's inspection. Exit interview. Copy of report provided to Administrator.