Routine inspection·November 28, 2022

Licensing Program Analyst (LPA) Steve Chang conducted an unannounced annual inspection, and met with administrator (ADM) Michelle Bayquen. COVID posters were observed at main entrance. LPA toured the facility inside out with ADM. Dinning room, kitchen and family room were inspected. 4 resident bedrooms and 2 restrooms were inspected. Not all trash cans are with covers, ADM stated the facility will fix this issue in 3 days. No posters of washing hands for 20 seconds were observed by the sink in kitchen and restrooms. ADM stated the facility will put the posters of washing hands for 20 seconds in 3 days. 3 residents were observed in facility. Two day perishable food supplies and seven day nonperishable food supplies were observed sufficient. Medication closet, knives closet, and cleaning product closet were observed locked. Fire extinguisher was serviced on 10/2/2022. The facility was equipped with smoke and carbon monoxide detectors. Front yard and backyard were inspected. There was no obstruction to block the walkways. ADM stated all the residents and staff are fully vaccinated with Pfizer. No citation were noted today. Exit interview was conducted with ADM This report was provided to ADM for signature. A copy of this report was provided to ADM