Routine inspection·February 24, 2022

Licensing Program Analyst (LPA) Christine Dolores conducted an unannounced annual required inspection and met with caregiver, Milagros Baltazar. During today's visit LPA toured the facility inside and outside to include dining room, living room, resident rooms, bathrooms, kitchen, garage, and backyard. Facility has 4 resident rooms, 2 bathrooms, and 1 staff room. All staff observed to be wearing a surgical mask. Facility observed to have designated entry point for COVID-19 symptom screening for all visitors and staff. Bathrooms observed to be supplied with hygiene products and paper supplies. Hand sanitizer available to residents and visitors. LPA observed supply of Personal Protective Equipment (PPE). Toxins, cleaning supplies, knives and sharp objects are secured. LPA observed the following posters to include symptoms of COVID-19, respiratory symptoms, and required mask. Facility disinfect and sanitize high touch surfaces daily and as needed. Facility staff are trained on infection control to include donning and doffing. Staff are N95 fit tested. Facility has a mitigation plan in place to prevent the spread of COVID-19. No deficiencies cited during today's visit per California Code of Regulations, Title 22. Advisory Notes provided. This report was reviewed with caregiver, Milagros Baltazar and a copy of this report was provided