Routine inspection·January 24, 2022

At 12:25PM, licensing Program Analyst (LPA) Steve Chang conducted an unannounced annual inspection, and met with House Manager (HM) Virginia Quezada . Upon Arrival, staff Helaria Morasch (S1) took LPA's body temperature, asked infection control questionnaires, and checked LPA in the visitor log book. LPA observed the COVID posters in the facility. Two staff and three residents were observed in facility. LPA toured the facility with HM inside out. LPA inspected living room, family room, dinning room, kitchen. There are 2 restrooms for residents, a restroom for staff, 2 resident shared rooms, 2 resident single rooms, and 1 staff live-in room in facility. Some trash cans without covers were observed in facility. HM stated the facility will fix the issues in one day. Two days perishable foods and seven nonperishable foods were observed sufficient. Room temperature was observed at 74 degree F, hot water temperature was observed at 105 degree F. Medication cabinet, Knife closet, and cleaning products closet were observed locked. PPE supplies were observed sufficient. Fire extinguisher was serviced on 5/10/2021. The facility was equipped with smoke and carbon monoxide detectors. Smoke detector alarm system was tested, and was working fine. Front yard and backyard were inspected. There was no obstruction to block the walkways. HM stated all the residents and staff are fully vaccinated and done with booster shots, except one resident is waiting for booster shot. No deficiency or allegation was issued today. Exit interview was conducted with HM. This report was provided to HM for signature. A copy of this report was emailed to HM.