Senior Care Records.

Facility Evaluation Report

Spyglass Senior Villa III, Brentwood02/23/2023Licence 079200607

Capacity8
Census7
Date signed02/23/2023 01:33:09 PM
The inspector’s account

On 02/23/2023, while conducting another inspection visit, Licensing Program Analyst (LPA) Leslie Ibo

conducted unannounced Case Management inspection.

During LPA's facility tour the following was observed:

At 9:44AM disinfectant and cleaning products was accessible to residents in care. Corrected during the visit.

At 9:40AM medication was observed at the counter, which was accessible to residents in care.

At 10:00AM during records review it was revealed that R2 & R3 are bedridden residents at the facility and facility do not have bedridden fire clearance.

The following deficiencies was observed (see LIC 9099D) and cited from the California Code of Regulations, Title 22. Failure to correct the deficiency may result in civil penalties.

A $500.00 civil penalty is being assessed today.

Exit interview conducted. Appeal Rights and a copy of this report was provided.

Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction