Routine inspection·March 22, 2022

Licensing Program Analyst (LPA) Christine Dolores conducted an unannounced annual required inspection to focus on infection control and met with house manager, Avelina Pascua. During visit, LPA toured the facility inside and outside to include the dining room, kitchen resident rooms, bathrooms, laundry room, activity room, garage, and backyard. All fire exit routes were free and clear of obstructions. All staff are observed to be wearing a face mask. Facility has a central entry point and hand sanitizer available for all residents, staff, and visitors. Bathrooms observed to have supplies of paper supplies, hygiene products, and hand washing sign. Trash cans were observed with lid. LPA observed facilities Personal Protective Equipment (PPE). Staff are trained on donning and doffing PPE. Facility has an isolation plan for residents who are symptomatic or test positive with COVID-19. The following posters were observed to include, special visitors, cough etiquette, symptoms of COVID, social distancing, droplet precaution, and staff sick leave. Facility disinfect and sanitize high touch surfaces daily and as needed. During visit, LPA advised to remove the "no visitors allowed" poster at the front door. LPA informed staff of the visitor policy. The following documents were obtained during visit to include, LIC308, Administrator Certificate, and LIC610E. No deficiencies cited during today's visit per California Code of Regulations, Title 22. Advisory notes provided. This report was reviewed with Avelina Pascua and a copy of the report was provided.