Routine inspection·April 27, 2022

Licensing Program Analyst Ryker Heberle (LPA) conducted an unannounced annual inspection. LPA met with facility staff member Minda Obillo (S1). LPA contacted Administrator Merle Laurel (Admin) via phone, who indicated that they were unable to attend the inspection. Admin gave (S1) permission to conduct the inspection in their stead. LPA toured the facility, including kitchen, living room, garage, 4 resident bedrooms, one staff bedroom, three bathrooms, and backyard. Staff members were not observed to be wearing masks. S1 confirmed that all staff and residents have been vaccinated. No prohibited items noted in resident rooms. All emergency exits noted to be clear of obstruction. All rooms in facility noted to be clean and well maintained. Hand sanitizers and soap were observed to be available. Bathrooms observed to not be stocked with paper towels. At least 2 days' supply of perishable food and at least 1 week's supply of non-perishable food was observed on the premises. Fire extinguisher observed to be inspected in February 2022. Smoke alarms were tested and observed to be functioning properly. All cleaning supplies and chemicals noted to be in locked cabinets and closets. Facility observed to have a designated entry point. Staff took LPA's temperature and screened for symptoms. Facility did not have 30 days supply of PPE. Social distancing signs observed to be posted in all public areas. Hand washing signs were observed in facility bathrooms. Water temperature observed to be 138 *F. 18 degrees over the limit. Deficiency cited during today's visit. See 809-D. Advisory notes issued. This report was reviewed with Administrator Merle Laurel and signed by staff member Minda Obillo. A copy of the signed report was provided.