Routine inspection·November 3, 2021

Licensing Program Analyst (LPA) Christina Valerio arrived at this facility unannounced to conduct an annual inspection visit. LPA Valerio introduced herself, explained the purpose of the visit, and was met by Administrator Bernadette Descargar. LPA Valerio was screened for COVID-19 symptoms with temperature prior to being allowed inside the facility. Administrator confirmed staff and residents have not displayed any signs or symptoms of COVID-19 in the last 10 days. The physical plant was toured inside and outside to ensure the safety of the residents and compliance with Title 22 regulations. LPA conducted the infection control domain tool. The facility has an LIC 808 mitigation plan uploaded into FAS. The facility has implemented screening and sign in procedures at the front of the home. Each resident room has their own PPE cart for family visits. LPA observed the facility to have COVID-19 informational and hand washing signs posted at the front door and throughout the facility. LPA observed the temperature inside the facility was measured at 74*F, which is within the required range of 68 degrees F and 85 degrees F. The hot water was measured at 105.3*F and 106.0*F in 2 bathrooms, which is not less than 105 degrees F (40.5 degrees C) and not more than 120 degrees F (48.8 degrees C) as per Title 22 regulations. 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. Resident rooms was sanitary and had the required furniture and furnishings. The facility common areas were clean and furnished. Smoke and carbon detectors were in good repair. Fire extinguishers was up to date with last check on 02/09/21. Facility has a large backyard for family visits and outdoor activities. LPA requested facility documentation: LIC 500, LIC 610E, Liability Insurance, LIC 308, and Administrator Certificate 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 Bernadette.