Routine inspection·November 22, 2022

On 11/22/22 at 2:09 PM, Licensing Program Analyst (LPA) Malia Thao arrived unannounced to conduct an Annual inspection. LPA explained reason for inspection and was granted entry. LPA met with Licensee/Administrator (LIC) Leticia Villela. LPA toured inside and outside of the facility. Hand sanitizer was available to residents and visitors. Social distancing is maintained in the common and dining areas. Hand washing posters were observed next to the sinks. Bedrooms were checked. LPA checked residents’ medications and observed the month's supply. Cleaning and PPE supplies were checked. There were no fire clearance issues. Administrator certification is valid. The following deficiencies were observed: 1. Kitchen knives and scissors observed stored in cabinet under sink where cleaning and chemicals are stored. 2. S1 did not have a completed health screening and has been working since 5/5/22. The following updated forms to be sent to CCL within 2 weeks: LIC500, LIC610E, LIC400, LIC402 Deficiencies are being cited based on LPAs' observations, interview, and records review in accordance with the California Code of Regulations, Title 22, see LIC809D. Exit interview conducted and a Plan of Correction was reviewed and developed with Licensee. A copy of this report and appeal rights were given to Licensee Leticia Villela, whose signature confirms receipt of this report.