Routine inspection·July 22, 2021

Licensing Program Analyst (LPA) Lizzette Tellez visited the facility to conduct an annual required licensing inspection. LPA was met by Staff, Liz Lorezco, and was granted entry into the facility. LPA met with Ms. Lorezco and discussed the purpose of the visit. Licensee/Administrator, Angelita Sanchez, arrived during the visit. During today's visit, LPA toured the facility, and verified compliance with infection control practices. LPA and Ms. Sanchez reviewed the facility’s Plan for Epidemic Outbreak Specific to COVID-19 Mitigation Plan Report. LPA observed one central entry point for universal entry screening; routine symptom screening initiated at entry for staff, residents and visitors; a sign-in policy enacted for all visitors; signs posted at facility entrance with the facility’s visitor policy and signs throughout the facility to promote hand hygiene, cough/sneeze etiquette and physical distancing; face coverings worn by staff; hand sanitizer/hand washing stations readily available; a designated visitation area; emergency agencies’ contact information posted in a location visible to staff and residents; and an adequate supply of cleaning products and PPE. During the visit, the facility's sole fire extinguisher was found not charged and inoperable. An immediate civil penalty for a Fire Safety violation was issued in the amount of $500.00. A deficiency was cited in accordance with the California Code of Regulation, Title 22, and is noted on the attached 809-D. An exit interview was conducted with Ms. Sanchez, and a copy of this report, along with a Civil Penalty Assessment Form, and Licensee Rights (LIC 9058 FAS 01/16) were provided to them via email. An electronic receipt of confirmation was requested to be sent by the Administrator upon receipt of the documents.