Routine inspection·January 31, 2023

On 1-31-23 at 3:28pm, Licensing Program Analyst (LPA) Michael Bilger arrived at this facility unannounced to conduct an annual inspection visit. LPA met with the lead caregiver Cecilia Amaya and explained the purpose of the visit. Administrator Maria Almendrala was notified and gave permission for Cecilia to accommodate LPA and sign in her absence. LPA Bilger inspected the physical plant including but not limited to the kitchen, dining room, resident bedrooms; resident bathrooms, laundry room, living area, common TV area, and outside backyard of the facility to ensure compliance with Title 22 regulations. Facility is a 6 bed residential care facility for the elderly with a current census of 6. LPA also conducted the infection control domain tool. The facility has an approved COVID Mitigation plan LIC 808 form in place.The facility has central entry point and has implemented screening and sign in procedures at the front door area. The facility conducts routine symptom screening for employees, residents, and visitors. LPA observed the facility to have hand washing, COVID - 19 informational, and social distancing signs posted throughout the facility, on the front door, and backyard. The facility has a designated infection control lead. The facility is able to designate and dedicated a Covid-19 room/bathroom if needed. Common touch surfaces are cleaned after each use. 6 of 6 resident files reviewed. Resident1 (R1) and R2 file did not contain a pre-admission appraisal per regulatory requirements. 2 staff files reviewed. Both files were missing updated first aid/CPR certification. Water temperature reads between 105*F and 120*F in the bathroom and room temperature reads 74*F. LPA observed the facility to have adequate food supply. Resident rooms were 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 extinguisher was checked 1/19/2023. Facility has an emergency food and water kit. Per California Code of Regulations, Title 22, deficiencies were observed during this visit. Exit interview was held with Cecilia Amaya and a copy of this report was given to Cecilia