Canyon View Residential Care Facility Inc. 2

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Angela Panushkina arrived at the facility to conduct an unannounced annual inspection. Upon arrival, LPA was greeted by the Administrator. LPA observed COVID-19 signage, hand sanitizer, PPE supplies and a visitor sign in log. LPA was asked by the Administrator to sign in using the infection prevention sign in log. The purpose of the visit was explained and an entrance interview was conducted. LPA initiated a physical plant tour at 1:10pm and observed six residents in a dining room area. Facility is a Residential Care Facility for the Elderly which was licensed for six (6) non-ambulatory, of which one (1) may be bedridden. Facility has been approved for a hospice waiver for six (6) residents. LPA was able to tour the home inside and out and did not observe any immediate health and safety concerns. Sufficient PPE supplies were observed. The fire extinguisher was observed in the kitchen area and was last serviced on 3/31/2022. Smoke detectors and carbon monoxide were observed to be functional. Facility maintains a temperature of 78 degrees Fahrenheit. LPA observed facility has sufficient stack of one week non-perishable foods and two day perishable foods. Sharps, cleaning supplies and medications are centrally stored and are kept locked in various kitchen cabinets and drawers. Bedrooms are appropriately furnished and have appropriate lighting. Bathrooms have soap, paper towels and hand washing signs were observed. Extra towels and linens were readily available. There is a clean covered shaded area in the back yard and there are no bodies of water. LPA collected a copy of Liability Insurance and LIC500. No deficiencies issued during today’s visit. Exit interview conducted and copy of this report delivered.the state’s words, verbatim · CDSS document, Oct 19, 2022

Type of visit: Required - 1 Year

At 9:25am Licensing Program Analyst (LPA) Angela Panushkina, conducted an unannounced annual inspection at the facility mentioned above. LPA met with the Administrator, Cheryl Ventura, who granted access to the facility. At approximately, 09:30am physical tour was conducted with the Administrator and LPA observed the following: Infection control: LPA reviewed the facility mitigation plan (approved on 04/08/2021) to make sure licensee was following current infection control recommendations. Upon arrival, LPA was screened and asked to sign-in the visitors’ log. In addition, LPA was asked all infection control questions. Proper signage was observed inside along the hallway and in the restrooms. Hand sanitizer was also observed. Administrator stated they have sufficient PPE supplies for residents and staff. LPA observed all trash can throughout the facility have fitted lids. Kitchen: At approximately, 9:30am LPA toured the kitchen area and observed enough supplies of staple non-perishable for minimum 1 week and perishable for 2 days at the facility. All knives and sharp objects were locked and inaccessible to residents in care. Smoke detectors/carbon monoxide. Dual smoke and carbon monoxide detectors were located throughout the facility, and at 9:55am they were tested and observed to be operational. Bedrooms: There are five (5) out of six (6) bedrooms designated for resident’s use and have sufficient lighting. All bedrooms are properly furnished, clean and have appropriate bedding and linens. All exit doors had auditory alarms in a condition and observed to be operational. The facility has two (2) Dementia residents in care. Bathrooms: At 09:52am, LPA observed all bathrooms are clean and in good repair. Properly supplied with toilet papers, soap and paper towels. The hot water temperature measured at 113.7°F. LPA observed appropriate grab bars and had non-skid mats as well as hand washing signs posted in each bathroom. Common Areas: The facility maintains a comfortable temperature at 74°F. The living room and dining area appeared clean and were properly furnished. No obstructions and or tripping hazards throughout the facility. There is a fire extinguisher in the kitchen area and was last serviced on 03/12/21. Outside areas: At approximately, 10:00am LPA toured the outside area of the facility. LPA observed appropriate outdoor furniture, with a covered shaded area for clients. There are no bodies of water. There was a detached, covered patio/room built in a backyard, from a previous owner, and that room was designated for staff use only. The garage: Laundry area is located in an attached garage and kept locked and inaccessible to residents in care. Extra PPE supplies and food storage was also observed. Medications: At approximately, 9:35am LPA observed medications are centrally stored and locked in the cabinet, by the kitchen area and inaccessible to residents in care. Administrative: LPA collected Certificate of Liability Insurance, and LIC.500. Annual fees are current Exit interview conducted and copy of this reported was provided to the Administrator.the state’s words, verbatim · CDSS document, Oct 20, 2021