Routine inspection·September 28, 2021

Licensing Program Analysts (LPAs) Christine Dolores and Marybeth Donovan conducted an unannounced annual required inspection. LPAs met with Dina Clark, Administrator. During today's visit LPAs toured the facility inside and outside. LPAs observed a central entry point and screening area for all visitors and staff. Residents were observed to be eating lunch during the time of visit, to include meat and vegetables. Facility has 6 private resident rooms, 1 staff room, and 4 bathrooms. Bathrooms have supplies of paper towels and soap available for staff, residents, and visitors. LPAs observed the following posters, social distancing, sick leave policy, and hand washing. Facility has a sufficient amount of PPE supplies to last 30 days. Facility disinfect and sanitize high touch surfaces daily and as needed. Facility has a mitigation plan in place to prevent the spread of COVID-19. LPAs will send COVID-19 posters to post throughout the facility, to include COVID-19 screening symptoms. No deficiencies cited during today's visit per California Code of Regulations, Title 22. This report was reviewed with Dina Clark, Administrator. Copy of this report was provided.