Routine inspection·May 21, 2021

Licensing Program Analyst (LPA) Arlene Garcia and (LPA) Albert Johnson conducted an unannounced annual / Infection Control visit on this date. LPAs met with Administrator, Sharon Martin at The Gate of the Beautiful II. LPAs and administrator inspected physical plant including but not limited to the main kitchen, residents bedrooms and bathrooms, medications rooms and dining room areas. LPAs observed sufficient seven days non-perishable and two days perishable food supplies in the main kitchen. Hot water temperature was measured in residents bathroom with the Administrator and measured at 108 degrees which is in the required range of 105 to 120 degrees. LPAs observed there was no Carbon Monoxide in facility. LPAs observed oxygen in the garage with no visible signs. Administrator stated resident keeps a tank in his room. LPAs observed no visible signs in residents room. Administrator did not have the Fire Drill log on site. LPAs could not verify when the last FireDrill was conducted,. LPAs reviewed 5 staff files and 3 resident files. While reviewing resident files, LPAs observed: R1 missing TB test and R2 Pre-appraisal signed but incomplete, 602, and Physicians Report. Cont 809-C >>>>>>>>>>>>>>>>>>>> Prior to visit, LPA Garcia completed a File Review. LPAs observed License Fee has not been received. LPAs reviewed resident and staff files. LPAs requested: 1. LIC 309 Administrative Organization 2. LIC 500 Personnel Report Per California Code of Regulations, Title 22 Division 6, Chapter 8, deficiencies are being cited today in violation of California Code of Regulations. Exit interview held with Sharon Martin and a copy of report given at the conclusion of the visit.