Routine inspection·April 21, 2022

Licensing Program Analyst (LPA) Steve Chang conducted an unannounced annual inspection visit, and met with Administrator (ADM) Esther Ignacio. Upon arrival, Staff Ven Ignacio (VI) took LPA body temperature, and checked LPA in the visitor log book. LPA toured the facility inside out with VI. Wearing mask posters were observed at main door. No other COVID signage and no screening station were observed at main entrance. VI stated the facility has been without residents for more than one year. VI stated the facility is trying to accept residents, but still cannot get any residents. There are 6 resident bedrooms, 1 staff live-in room, and 6 restrooms in facility. The facility is in non operational now. VI is the husband of ADM. Front yard and backyard were inspected. There was no obstruction to block the walkways. ADM stated both VI and ADM are fully vaccinated and done with booster. Exit interview was conducted with ADM. This report was provided to ADM for signature.