Facility Evaluation Report

Licensing Program Analyst (LPA) Christina Valerio arrived at the facility unannounced to conduct an annual inspection. LPA Valerio confirmed with staff that there are 0 staff or residents that have displayed any signs or symptoms of COVID-19 in the last 10 days.

LPA Valerio met with Administrator Zenadia, whom put facility staff in charge for the duration of the visit and to sign the final report. The infection control domain tool was completed during the visit. LPA Valerio observed updated PINS, including most recent visitation guidelines, posted at the front door and entry way of the facility. Facility staff were observed wearing surgical mask. Staff stated all areas of the home are cleaned multiple times per day.

Facility Staff and LPA Valerio toured the physical plant to ensure compliance of Title 22 regulations. LPA observed the kitchen to have an emergency supply of food, a locked cabinet for sharps and cleaning supplies, a supply of perishable foods for seven days, and a supply of non-perishable food for a minimum of two days. Facility staff were observed to be cooking lunch while other residents were engaging in activities with staff. Resident rooms were furnished with required furniture and were clean and free from debris. Common areas are said to clean every shift and observed by LPA to be clean. Resident bathrooms were fully stocked with necessary items, including soap, hand sanitizer, paper towels, and a trash can with a lid. Emergency exits were free from obstructions. The fire extinguisher was fully charged with last check on 04/20/2021. The hot water was measured at 114.8*F, which is within the required range of 105*F - 120*F.

LPA Valerio requested the following documentation: LIC 500, LIC 308, Surety Bond, and LIC 610D

Per the California Code of Regulations, Title 22, Division 6,no deficiencies were observed or cited. Exit interview held, and a copy of the report was left at the facility for Administrator Zenaida Abriam