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25 | Licensing Program Analyst (LPA) Avelina Martinez made an unannounced visit to this facility to conduct an annual required inspection on 08/26/2021. LPA inspected the physical plant including but not limited to the kitchen, dining room, resident bedrooms; resident bathrooms, laundry room, activity room, and outside courtyard of the facility to ensure compliance with Title 22 regulations.
The LPA toured the facility with Mary Jane Apuya on 08/26/2021 at 1:00 PM.
Administrator holds current certificate and expires on 11/01/2022. The facility is licensed for 6 non-ambulatory residents, and has a hospice waiver for 1 resident. There are currently 5 residents who reside at this facility. There are no residents on hospice.
The licensee has submitted a LIC 808 mitigation plan to the Department. The facility has Covid-19 posters throughout the facility. The facility common area furniture is spaced 6 feet apart. The facility has one main screening entry point. The facility has a 30 day supply of PPE. The facility is conducting hourly disinfecting cleaning. The facility is sanitary. The facility conducts family visit outside and also provides virtual visits. Fire extinguishers are in good repair. Smoke and carbon detectors are in good repair.
The facility is in compliance with California Code of Regulations, Title 22 and Health and Safety Code, there were no deficiencies cited at this time.
Exit interview held and a report given at the end of the visit.
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