Routine inspection·March 2, 2022

Licensing Program Analyst (LPA) Victoria Brown arrived unannounced to conduct a Required – 1 Year inspection on 3/2/22 at 11:30am. LPA met with Yesenia Jones, Administrator and stated the purpose of todays visit. The facility is licensed for a capacity of 38 residents. LPA toured and inspected the physical plant inside and outside to ensure there are no safety hazards to residents. LPA observed residents during this visit. LPA observed that all meals are picked up from ACC Care Center and transported in hot boxes and warmers are used to keep them at the correct temperature for serving. The facility has a hospice waiver for 4 and there are 2 residents receiving hospice care services at this time. LPA observed adequate supply of 2-day perishables and 7-day non-perishables. The temperature inside the facility was observed to be at 73*F which is within the required range of 68-85*F. The hot water temperature was measured at 107.4*F which is within the required range of 105-120*F. LPA observed a pull alarm system, fire extinguisher(s), smoke and carbon monoxide detectors, and central heating and air in the facility. LPA observed the centrally stored medications area to be locked and inaccessible to residents. The first aid kit contained the required items such as sterile dressings, bandages, adhesive tape, scissors, tweezers, thermometers, antiseptic solution and guide. Upon a file review the following items were discussed to be submitted with any changes annually: Application (LIC200), Designation of Facility Responsibility (LIC308) Liability Insurance, Personnel Report (LIC500), Administrator Certificate-Updated Per the California Code of Regulations, Title 22, Division 6, Chapter 8, no deficiencies observed or cited. Exit interview held, copy of report given