Facility Evaluation Report

Licensing Program Analyst (LPA) Alma Gonzalez conducted an unannounced Required-1 year visit focusing on COVID-19 Infection Control Practices. LPA met with Administrator Dawnyell Varela and explained the purpose of today's visit.

This is an RCFE - Continuing Care Retirement Community (CCRC). Facility serves elderly residents (age 60 and above). Facility is fire cleared for 252 Ambulatory, 106 Non-Ambulatory, and 96 Bedridden. Facility has an approved Hospice Waiver to retain/accept (10) residents. There currently are (49) residents in assisted-living: (2) hospice, (0) bedridden (0) exception, and (2) receiving home health. LPA also observed the residents during meal time (lunch).

The following was inspected and toured: Pitzer (South), Pitzer (North), Pitzer (East), and Pitzer (Friendship Court) which include: resident's studio, 1-bed room and/or 2-bed room apartments, with private bathrooms, living room, dining area, a commercial-size kitchen in the main building, indoor/outdoor activity areas. All residents’ apartments have the required furniture for privacy, comfort, and safety. Bathrooms were observed to be clean and operational (w/grab bars and non-skid surface/mats in place). Hot water temperature tested between 111*F degrees. Required notifications and postings were observed throughout the facility in the different buildings located on bulletin boards and all included: Resident Personal rights, Facility sketch, Visitor policy, complaint procedures, menu and emergency disaster plan.

COVID-19 Infection Control Practices (including signs) were observed at the entrance of this facility, and in all common rooms and hallways throughout the facility.

Staff conducted a routine symptom screening of LPA at the time of entrance and have a sign-in policy as required per COVID-19 procedures.

Signs are posted throughout the facility to promote hand washing, cough/sneeze etiquette, and physical distancing.