Routine inspection·June 7, 2022

Licensing Program Analyst (LPA) Jill Nakagawa arrived unannounced to conduct an Annual Required inspection and met with Paramjit Singh Sandhu, Administrator. The annual inspection is focused on the Infection Control procedures and practices of this Residential Care of the Elderly Facility. LPA observed a screening station at the entrance of facility which had hand sanitizer, a temperature sensor, and masks. Visitors are screened for COVID-19 symptoms (including temperature check) upon arrival to the facility. LPA conducted a walk-through of the facility with Administrator and observed COVID-19 precaution postings. Staff clean and disinfect the facility daily. High touched surface areas are disinfected. The facility has a designated visitation area, provides virtual visits and phone calls for family to stay in contact with residents. LPA observed 2 residents in care; a new resident is possibly moving in shortly. The facility was clean and a comfortable temperature. N-95 respirator Fit testing completed. LPA observed a supply of PPE including gloves, face shields, N-95 respirators, surgical masks and , and hand sanitizer. Staff wore a face mask during this visit. The facility has submitted a COVID-19 Mitigation Plan Report on Epidemic Outbreaks specific to COVID-19 to the California Department of Social Services, and is aware of the Infection Control Plan due to CCL by June 30, 2022. Exit interview conducted with Administrator, whose signature on this document confirms receipt. No deficiencies cited during this inspection.