Facility Evaluation Report

On 1/27/22 at 11:30 AM, Licensing Program Analyst (LPA) Malia Thao arrived unannounced to conduct an Annual inspection. LPA explained reason for inspection and was granted entry. Administrator Cheryl McCraw arrived a short time later.

LPA toured facility with staff. LPA did not observe any obstructions or fire clearance issues. LPA observed COVID-19 precaution signs posted and sign-in table at entrance. Hand sanitizer was available to residents and visitors. Social distancing is maintained in the common and dining areas. Hand washing posters were observed next to the sinks. Bedrooms were checked and no residents share a room. LPA checked residents’ medications and observed the month's supply. Cleaning and PPE supplies were checked. Administrator certification is valid.

1. LPA observed base of hall bathroom vanity and cabinet under kitchen sink, and right panel of hall bathroom vanity were rotted; hall bathroom full bathtub rim where bathtub meets surround wall tile and side wall was observed open and exposed; bathtub trim lever faceplate observed covered in calcium; and kitchen sink faucet observed leaking water.

The following update forms to be sent to CCL within 2 weeks:

Deficiency is being cited based on LPA's observations in accordance with the California Code of Regulations, Title 22, see LIC809D. Exit interview conducted. Due to COVID-19 precautionary measures, a copy of this report and appeal rights were emailed to email on record with "Read receipt" to confirm receipt of this report. LPA verified email on record is correct with Administrator Cheryl McCraw.