Routine inspection·February 10, 2022

Licensing Program Analyst (LPA) JoAnn Rosales conducted a Required 1 - Year visit to this facility. LPA met with Administrator Julian Bond. LPA conducted a facility tour to inspect for infection control practices. Infection control practices were discussed with the Administrator. An inspection of the common areas, resident rooms and restrooms were conducted. LPA observed hot water temperature at 113.5, 114, 114.3 and 115.6 degrees F. in resident rooms. LPA observed signal system which operates from each resident room. There is an adequate amount of perishable and non-perishable food. Outdoor area toured. PPE supplies were observed. LPA observed the fire extinguishers fully charged. The carbon monoxide detectors were tested and operable. Administrator stated that the Fire Marshall conducted a test on the smoke alarms on 7/15/21 and they passed inspection. Administrator provided LPA a copy of the Priority Inspection Report from the Department of Forestry and Fire Protection dated 7/15/21 which indicates that the facility passed inspection. During facility tour at 1:28 pm with the Administrator LPA observed Shuffleboard Cleaner and Shuffleboard Silicone in a cabinet in the lounge accessible to residents. During facility tour at 1:32 pm with the Administrator LPA observed Sani-Cloth germicidal disposable wipes on a cart outside of the lounge accessible to residents. Pursuant to Title 22 Division 6 Chapter 8 of the CA Code of Regulations, the following deficiency was cited (refer to LIC 809-D): Exit interview conducted, today's reports and appeal rights were reviewed and issued.