Facility Evaluation Report, 08/01/2022 — Ventana ARF

On 08/01/2022, Licensing Program Analyst (LPA) Jessica Cho conducted an unannounced visit to Ventana ARF- La Sierra. The purpose of today's visit was to conduct a Required 1 Year inspection focusing on the Infection Control. At 10:13am, LPA Cho was allowed entry into the facility and met with House Manager (HM) Bryan Pelayo after completing the Coronavirus 2019 (COVID-19) screening procedure. Caregivers Richard Nessia, Lee Palmon, and Mamie Palmon were present at the facility. The Administrator's Certificate for Hector Obar expired on 05/14/2022. Administrator (Admin) Hector Obar stated all required course work have been completed and Admin has agreed to submit the completed course work via email to LPA by today's date.

The facility is a two-story structure and licensed for six clients of which two are non-ambulatory. This facility offers a Level 4I service. As of today, there are two clients living in the facility of which two are ambulatory. LPA observed two clients present watching television in the living room.

At 10:30am, LPA Cho conducted a tour of the physical plant along with HM Pelayo. The facility consists of four client bedrooms and two client bathrooms. There are four private staff bedrooms and 1 private staff bathroom on the second floor. The facility also has a living room, family room, dining room, kitchen, and an attached two car garage/laundry area. The clients' bedrooms had the required furnishings, bed linens, and closet/drawer space to accommodate each client comfortably. All client bedrooms were free of clutter and debris. No clients were occupying Bedrooms #1 and #4 at this time. Client bathrooms were checked. Toilets and water faucets worked properly, grab bars were secure, and showers were free of mold/mildew. At 10:51am, LPA Cho entered Client Bathroom #1 which smelled strongly of urine. HM Pelayo stated that Client #1 has difficulty urinating and at times would miss the toilet. Bathroom #1 was cleaned and sanitized during the visit. Urine odor is no longer present. Client bath towels and personal hygiene supplies were adequately stocked including paper towels and hand soaps. LPA Cho tested the hot water temperatures in two client bathrooms which measured at 117.3 degrees Fahrenheit in Bathroom #1 and 117.8 degrees Fahrenheit in Bathroom #2.