Routine inspection·March 24, 2022

Licensing Program Analyst (LPA) Martha Guzman Chavez arrived at the facility unannounced to conduct a required annual visit at 9:45 a.m. This will be the first annual at this facility as they were pre-licensed on 2/22/2021. This annual has a specific emphasis on infection control practices and procedures. The LPA was greeted and scanned at the door by Administrator, Sophia Bonoan and was explained the reason for the visit. Entrance interview. At 9:52 a.m., the LPA began the physical plant tour with the Administrator 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 two refrigerators in the kitchen that were fully stocked at the time of visit. 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 measured at 123.8 degrees Fahrenheit and the second bathroom measured at 125.8 degrees Fahrenheit. ...Continued on LIC 809C... …Continued from LIC 809... COMMON SPACES: The LPA observed the living room area which is clean and properly furnished with seating, a table, and television for resident use. The LPA observed two residents in the living room watching television during time of visit. The LPA observed the knives and sharps to be stored in a locked closet adjacent to the kitchen inaccessible to residents. Medications and First-Aid Kit were also observed in a locked closet adjacent to the kitchen. GARAGE AND GROUNDS : The garage is locked and attached to the house. 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 Administrator regarding the facility’s infection control practices. The LPA observed appropriate signage which promoted good hand hygiene, physical distancing, symptoms of COVID-19. 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 vaccinated. No identified staffing concerns. The facility is in compliance regarding the requirements for indoor and outdoor visitation. Pursuant to Title 22 Division 6 Chapter 8 of the CA Code of Regulations, the following deficiencies were cited (refer to LIC 809-D). Exit interview conducted. Appeal Rights Discussed. A copy of the report will be provided to the Administrator via email.