Routine inspection·September 10, 2021

Licensing Program Analyst (LPA) David Marrufo conducted an unannounced Required - 1 Year visit and met with Administrator Noel Dizon. During visit, LPA observed the inside and outside of the faciilty. LPA observed the facility kitchen and food storage areas and observed there to be a 7-day supply of non-perishable foods and a 3-day supply of perishable foods. LPA toured 3 out of 3 resident bedrooms and 2 out of 2 resident bathrooms. The bathrooms had signs posted promoting hand washing and sanitation. The outdoor area was free of obstructions along the exits. LPA observed that the facility did not have a visitor screening area to log temperatures and record responses to symptom screening questions. LPA observed that the facility only had 1 N95 mask. The facility did have a supply of surgical masks and gloves. LPA observed that the facility has not submitted a completed LIC808 Mitigation Plan. Advisory Notes were issued - see LIC9102s for more information. No deficiencies were cited as per California Code of Regulations Title 22. This report was reviewed with Administrator Noel Dizon and a copy of the report was provided.