Routine inspection·September 7, 2021

Licensing Program Analyst (LPA) Arlene Garcia conducted an unannounced Annual/ Infection Control visit on this date. LPA met with Jesusa & Edson Gavero (AD), Administrators LPA and AD inspected physical plant including but not limited to the main kitchen, residents bedrooms and bathrooms, laundry room, and dining room area. LPA observed sufficient seven days non-perishable and two days perishable food supplies in the main kitchen. LPA observed cabinet under sink in kitchen locked. LPA observed sharps and centrally stored medications locked in pantry closet. Hot water temperature was measured in residents' bathroom with the Administrator at 119.5 degrees which is in required range of 105 to 120 degrees. LPA observed there was a Carbon Monoxide/ Fire monitors in facility. LPA verified the last FireDrill was conducted July 2021. Fire extinguisher maintained on 9/27/20. LPA reviewed 3 staff and 4 resident files. Resident emergency contact complete. LPA observed all staff files complete. Administrator Certificate valid until 9/6/2022. All persons in facility fully vaccinated. LPA observed resident practicing social distancing. LPA observed 30 days PPE supply. LPA observed there was no non-skid pad in resident's bathroom. LPA observed in one of the residents bedrooms 2 hospital beds and a hoyer lift. Per California Code of Regulations, Title 22 Division 6, Chapter 8, deficiencies are being cited today in violation of California Code of Regulations. Exit interview held with AD and a copy of report given via email.