Routine inspection·February 8, 2023

Licensing Program Analyst (LPA) Zabel Chochian conducted a Pre-licensing visit at the facility. LPA met with Applicant Representative and Administrator Susan Lumbres. At 2pm LPA and administrator toured the physical plant area to ensure there are no health and safety hazards and the facility is in compliance with Title 22 Regulations. Facility is a single-story residence and consists of a total of four (4) bedrooms and two (2) bathrooms. Fire extinguisher observed full charged in the kitchen; Smoke detectors and Carbon Monoxide detectors appeared to function properly during time of visit. Today's annual has an emphasis on infection control practices and procedures. During physical plant tour LPA observed the required postings throughout the facility. The facility has a sufficient supply of perishable and non-perishable food. Sufficient disinfecting/cleaning supplies observed (locked). The LPA observed the resident bedrooms, which were furnished appropriately with clean linens, appropriate furnishings and sufficient lighting. There are two bathrooms. Bathrooms had liquid soap, paper towels, and signs regarding proper hand washing. Backyard observed clear of any hazardous items. Passageways observed clear/no obstruction. INFECTION CONTROL: There is one (1) entry into the facility. Upon entry, the facility has a central entry point for symptom screening. Personal Protective Equipment (PPE) supply maintained. Ms. Lumbres stated she is able to order additional supplies with no issue. The facility’s cleaning protocol is sufficient. If needed, the facility has the capacity to designate a single isolation room if the facility has a confirmed case of COVID-19. No deficiency observed during todays visit. Exit interview held with staff. Copy of the report provided to Licensee/Administrator.