Routine inspection·June 7, 2021

Licensing Program Analyst (LPA) David Marrufo conducted an unannounced COVID-19 Infection Control Required 1 Year visit and met with Becky Bi. During visit, LPA Marrufo toured six out of six resident bathrooms, hallways, dinning and common areas, outdoor visiting area, kitchen area, and resident bedrooms. Staff were observed wearing surgical masks. LPA Marrufo observed that 6 out of 6 bathrooms did not have trash cans with foot-operated lids. LPA observed the facility entrance way did not have a log to screen visitor symptoms. LPA Marrufo observed that the facility has not yet submitted an LIC808 Mitigation Plan. Becky Bi also stated that the facility does not document daily temperature and COVID-19 symptom checks amongst residents and staff. LPA Marrufo observed the facility has an adequate supply of PPEs. Advisory Notes were issues. See LIC9102s for more information. No Deficiencies were cited at this time as per California Code of Regulations, Title 22. This report was reviewed with Becky Bi and a copy of the report was provided.