Senior Care Records.

Facility Evaluation Report

Providence Home of Hillview, Vallejo02/27/2023Licence 486803890

Capacity6
Census5
Date signed02/27/2023 07:58:31 PM
The inspector’s account

Licensing Program Analyst (LPA) Araceli Canela arrived unannounced to conduct a Required - 1 Year inspection and met with, Administrator, Michelle Jangar. The annual inspection is focused on the Infection Control procedures and practices of this Residential Care Facility for the Elderly. There are currently 5 residents in care, two receiving Hospice services. This facility is licensed for a total of 6 residents, with a hospice waiver to allow all 6 residents on Hospice services and no approval for bedridden residents/rooms. There is a total of 6 residents bedrooms available.

LPA toured facility and grounds and observed COVID-19 precaution signs posted in common areas to promote hand washing. LPA was screened for COVID-19 symptoms upon entrance to this facility. Visitors are said to be screened for COVID-19 symptoms upon arrival to the facility. Infection control practices are present: entry procedures, face coverings, daily monitoring and temperatures checked for residents and staff, and 30-day PPE supply. Facility states staff clean and disinfect the facility daily. Bathrooms are equipped with liquid soap and paper towels. Covid-19 Mitigation and Infection Control plan was submitted to the department. Caregivers have completed PPE.

In addition, facility was found to be at a comfortable temperature with all exits free from obstruction. Facility has at least two days of perishable and one week of non-perishable foods. Fire Extinguisher was found to be charged and serviced 2/16/2023.

This facility submitted a requested for increase of capacity to 7 residents. Due to concerns and review of a current financial report of this facilities applicant. The request for increase of capacity to seven(7) residents is denied at this time. Facility may apply for an increase at a later time.

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