Routine inspection·September 9, 2022

Licensing Program Analyst (LPA) Steve Chang conducted an unannounced annual inspection visit, and met with Administrator (ADM) BHUPINDER KAUR. Upon arrival, ADM took LPA body temperature, and checked LPA in the visitor log book. LPA toured the facility inside out with ADM. COVID posters were observed at main entrance and the facility. Screening station with masks, hand sanitizer, glove, thermometer and visitor log book was observed at the main entrance. Living room, kitchen, dinning room and two restrooms were inspected. All trash cans were observed with covers. One of the restroom did not have posters of washing hands. ADM stated ADM will put the posters of washing hands for 20 seconds in restroom in 3 days. No paper towel was observed in kitchen. Cloth towel were observed in kitchen. ADM stated ADM will put paper towels with holder in kitchen in 3 days. Three shared resident bedrooms, and laundry room were inspected. Two day perishable food supplies and seven day nonperishable food supplies were observed sufficient. Medication closet, knives closet, and cleaning product closet were observed locked. Room temperature was at 80 degree F, and hot water temperature was at 108 degree F in facility. 5 residents were observed in facility. Fire extinguisher was serviced on 09/08/2022. Front yard and backyard were inspected. There was no obstruction to block the walkways. The facility already submitted the Infection Control Plan to LPA. No citation were noted today. Exit interview was conducted with ADM. This report was provided to ADM for signature.