Post-licensing visit·February 14, 2022

Licensing Program Analyst (LPA) Carmen Lopez conducted an unannounced visit to conduct a post-licensing inspection to ensure that the facility is operating in compliance with California Code of Regulations, Title 22, Division 6. LPA introduced herself, disclosed the purpose of the visit and was granted entry into the facility by Melodia Caluza, designated Managing Care staff. Licensee Kristine Skoglin later joined the inspection. A tour of the facility was conducted inside and out. LPA conducted a general overall inspection, which included, but was not limited to, infection control protocols. During today's inspection LPA observations include the following: Symptom screening procedures for staff, residents and visitors; posted signs regarding visitor policy, promoting hand washing, cough and sneeze etiquette and other infection control procedures; testing plan and procedures was discussed; plans for containing infections, PPE supplies procedures and training; and disinfection procedures. All indoor and outdoor passageways were free from obstructions. The facility’s indoor temperature was 74 degrees Fahrenheit. No pools were observed. A fountain was observed with rocks inside the fountain. According to Licensee Skoglin there are no firearms or ammunition stored in the facility. Cleaning supplies and toxins were locked in an inaccessible cabinet to the residents. LPA toured resident bedrooms. The rooms had the required furnishings and sufficient lighting. Licensee provided the residents with clean linens, in good repair, and sufficient hygiene products for personal use. The facility had functioning carbon monoxide detectors and smoke detectors that met statutory regulations. A one week’s non-perishable food supply is maintained on the property. Perishable food supply is maintained for two days. All food was properly stored and made available to residents. Medications were observed to be labeled and in a locked a cabinet that is inaccessible to residents. Based on today’s inspection, no deficiencies were observed. An exit interview was conducted with Licensee Skogin. A copy of this report, along with the Administrator Rights (01/2016) was emailed to Licensee Skoglin at the conclusion of the visit. LPA requested Licensee to send LPA an electronic message reply confirming receipt of these documents.