Routine inspection·December 3, 2021

Licensing Program Analyst Ryker Heberle (LPA) conducted an unannounced annual inspection on 12/03/2021 at 11:04am. LPA met with facility Administrator Michelle Benitez (Admin). LPA toured the facility, including living room, kitchen, dining room, 5 client bedrooms, 1 staff bedroom, 2 bathrooms, back yard, and garage. All staff members observed to be wearing masks. Admin confirmed that all staff and residents have been vaccinated. Facility observed to have designated entry point. Staff took LPA's temperature but did not screen for symptoms. 30 day supply of PPE observed. Restrooms were not stoked with paper towels. Hand washing signs were not observed to be in all bathrooms. Social distancing signs observed to be posted in all public areas. The facility is currently accepting visitors inside the facility, including residents' bedrooms. Facility Mitigation plan has already been submitted. 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, soap, and paper supplies were observed to be available. 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 extinguishers observed to be inspected in 2021. Facility carbon monoxide detector tested and observed to be in working order. Facility water temperature observed to be at 141.1 *F in both facility bathrooms, which is 21.1 degrees over the maximum temperature stipulated in Title 22. Deficiency was cited during today's visit. See 809-D. This report was reviewed with Administrator Michelle Benitez and a copy of the signed report was provided.