Routine inspection·February 14, 2023

Licensing Program Analyst (LPA) Steve Chang conducted an annual inspection visit, and met with Administrator (ADM) Debbie Sazon. Upon arrival, ADM took LPA body temperature and checked LPA into the guest book. Screening station with thermometer, masks, hand sanitizer was observed at the main entrance. LPA observed 5 residents and 4 staff in facility. LPA toured the facility inside and out with ADM. LPA inspected living room, kitchen, dinning area, and laundry room. Medication closet, knives closet and cleaning product closet were observed locked. There are 6 bedrooms for residents, and two staff live-in room in facility. 2 bathrooms are in facility. Paper towels were observed with holders, Trash cans were observed with covers. Posters of washing hands for 20 seconds were observed by the sinks in kitchen and restroom. Room temperature was observed at 72 degree F, and hot water temperature was observed at 118 degree F. 2 days perishable food supplies and 7 days non perishable food supplies were observed sufficient. The facility is equipped with smoke and carbon monoxide detectors. The facility equipped with fire alarm. ADM tested the smoke and carbon monoxide detectors, and they were working fine. The fire extinguishers were observed on service on 02/23/2022. LPA inspected the backyard, there was no obstruction to block the walkway. ADM stated all staff and residents are fully vaccinated and done with booster. ADM stated the facility already submitted the Infection Control. Plan to CCL office. No citation noted during inspection. Exit interview was conducted with ADM. This report was provided to ADM for signature.