Routine inspection·December 27, 2022

On 12/27/2022 at 1:20pm, Licensing Program Analyst (LPA) Simi Rai conducted an unannounced annual required inspection and met with Licensee/Administrator (ADM), Nora Dennis. LPA Rai observed 3 residents in their room taking a nap. Per ADM, 1 resident is under Hospice Care. During visit, LPA Rai toured the facility to include the family room, dining room, 5 bedrooms, 2 bathrooms, garage, and backyard. All fire exit routes were free and clear of obstruction. All staff observed wearing a face covering. Facility has a designated entry point for sign-in, symptom screening, and temperature check for all visitors and staff. Hand sanitizer made available at entry and throughout the facility. Visitation guidelines posted at the entrance. Bathrooms supplied with hygiene products, paper supplies, and hand washing sign. LPA Rai observed facility's Personal Protective Equipment (PPE) supplies. Facility has procedures to isolation and testing for COVID-19. Staff are trained on infection control. Staff are N95 fit tested. Facility staff clean and disinfect multiple times daily and as needed. The following posters observed to include wash your hands and symptoms of COVID-19. LPA Rai requested the following documents to update facility file: Liability Insurance, LIC 500 Personnel Report, LIC 9020 Register of Facility Clients/Residents, RCFE Administration Certification, and First Aid Certification. LPA Rai obtained the documents during the visit. No deficiencies were cited per California Code of Regulations, Title 22. This report was reviewed with Licensee/Administrator, Nora Dennis and a copy of the report was provided.