Routine inspection·March 10, 2022

Licensing Program Analyst (LPA) Martha Guzman Chavez arrived at the facility unannounced to conduct a required annual visit at 1:25 p.m. The last annual conducted at this facility was on 2/05/2020. This annual has a specific emphasis on infection control practices and procedures. The LPA was greeted and scanned at the door by staff Marilona Manalang. The Licensee Representatives, David and Kathie Flood arrived shortly after and were explained the reason for the visit. Entrance interview. The LPA began the physical plant tour with the Licensee Representatives of the common areas, kitchen area, resident bedrooms, bathrooms, and outdoor area to ensure there are no health and safety hazards and facility is in compliance with Title 22 Regulations. KITCHEN: The LPA observed the kitchen/dining area to be clean and k itchen appliances were in operable condition. The facility has a sufficient supply of perishable and non-perishable food. The LPA observed the knives and sharps to be stored in a locked drawer next to the kitchen sink inaccessible to residents. Medications are in a locked cabinet adjacent to living room. BEDROOMS: The LPA observed the resident rooms, which were furnished appropriately with clean linens, furnishings, and sufficient lighting. RESTROOMS: Resident restrooms are clean and sanitary and in operating condition with grab bars and non-skid surfaces. Restrooms are sufficiently stocked with hand liquid soap and paper towels. The LPA observed two bathrooms for resident use. The first bathroom is private in bedroom #1 and it measured at 107.8 degrees Fahrenheit and the second bathroom measured at 107.6 degrees Fahrenheit. ...Continued on LIC 809C... …Continued from LIC 809... COMMON SPACES: The LPA observed two living room areas which are clean and properly furnished with seating, a table, and television for resident use. The LPA observed all five residents in the second living room watching television during time of visit. GARAGE AND GROUNDS : The garage is locked and attached to the house. There is one additional freezer in the garage with perishable items in good condition. The LPA observed a covered patio area with patio furniture including a table and chairs for resident use. Facility has two fence gates that self-latch with a clear passageway for emergency exit use. There were no large bodies of water accessible to residents . During today’s visit, the LPA spoke with the Licensee Representative regarding the facility’s infection control practices. The LPA observed appropriate signage which promoted good hand hygiene, physical distancing, symptoms of COVID-19, and the necessary CDSS PINS. The facility has a central entry point for symptom screening, temperature checks, and sanitation station. The LPA observed an adequate supply of Personal Protection Equipment (PPE). Staff were observed wearing face coverings. All staff and residents are fully vaccinated and boosted. No identified staffing concerns. The facility is in compliance regarding the requirements for indoor and outdoor visitation. Exit interview conducted. No citations issued. A copy of the report will be provided to Licensee Representative via email.