Post-licensing visit·August 18, 2022

Licensing Program Analyst (LPA) M. Yang arrived unannounced for a Post Licensing Inspection. LPA met staff Jacklyn Becerra. LPA introduced self, stated the purpose of the visit, and requested to meet with the Administrator. Upon entry staffs was observed wearing facial covering. Administrators, Deborah “Debbie” Salazar was called and arrived shortly with Director Tiffany Bullock. LPA toured facility with staff, Administrator, and Director. All three residents present during tour. LPA observed cough etiquette and social distancing posting. Facility was observed at a comfortable temperature, clean, and no passageway obstructions or fire hazards inside. Facility was free from ground obstructions and odor free. Common areas were observed to have adequate seating and lighting available. Kitchen was toured and observed. Knives were observed kept locked and secure in the kitchen drawer. LPA observed a 2-day supply of perishable and 7-day supply of non-perishable food. A fire extinguisher was observed and had a service date of 06/02/2022. Cleaning supplies and chemicals observed to be locked in a closet in the office. LPA observed an extra supply of bed linens and personal hygiene products. LPA observed hand washing signs by bathroom sinks. LPA observed three single occupant bedrooms and three vacant bedrooms. Bedrooms were observed furnished and lit. Medications observed locked in medication drawers. Outside of facility toured. Exits were open and free of obstructions. LPA observed side gate to be self-latching. LPA observed a 30-day PPE supplies. All resident’s file reviewed to have updated emergency contact information and Admission agreements on file. Staff’s file was also reviewed with current 1st Aid/ CPR. No deficiencies issued during this inspection. Exit interview was conducted. A copy of this report will be provided via email and an electronic read receipt confirms receiving this email. Signed report on file.