Victoria Manor

Type of visit: Required - 1 Year

At approximately 8:30AM, Licensing Program Analyst (LPA) Chris Arnhold made an unannounced annual required inspection of this licensed senior care facility. LPA met with Victoria Reyes. At approximately 8:45AM, LPA toured the building and grounds which was found to be clean and in good repair. LPA observed all walkways and exits to be unobstructed. All notices that are required to be posted have been posted and are in a highly visible area. The amount of fresh and nonperishable foods is within regulation. Facility kitchen, refrigerators and freezers were clean, and food was stored properly. Toxins are stored in a locked storage closet. Water temperature measured within regulation between 105 and 120 degrees F at faucets accessible to residents. Fire extinguishers inspected were charged. Smoke detectors were found to be in working order. Carbon Monoxide detectors were present. There was enough lighting in all common areas, resident rooms, and hallways. Medication is centrally stored and secure. At approximately 9:15AM, LPA reviewed 6 resident records and found 6 of 6 residents did not have current physician's reports. 3 or 6 residents did not have current appraisals. 6 of 6 records contained current and signed admission agreements and physician's orders. Medication records are thorough and contained physician's orders for each resident. At approximately 10:00AM, LPA reviewed 3 staff records. 3 of 3 records did not contain documentation of completed training as required. Evidence of current first aid and CPR training were current. LPA provided documentation regarding the required annual training to Licensee. Continued on LIC809-C... At approximately 10:30AM, LPA reviewed the facility emergency disaster plan with staff. Facility has a generator to supply power during an outage. The plan outlines evacuation routes, which are shown on facility sketch and has alternative meeting locations. Facility has supplies enough to operate for more than 72 hours in an emergency. Updated copies of the following documents were requested for facility file and are to be submitted to CCL within 30 days of this visit: LIC500- Personnel Report Evidence of Liability Insurance Deficiencies are cited from the California Code of Regulations (CCRs), and/or the Health and Safety Code. Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment. This report was reviewed with Victoria Reyes and Appeal rights were given.the state’s words, verbatim · CDSS document, Jun 12, 2023

Type of visit: Required - 1 Year

At approximately 8:15AM, Licensing Program Analyst (LPA) Chris Arnhold arrived at this facility unannounced, to conduct an Annual Required infection control inspection. This inspection will focus on the Infection Control procedures and practices of this facility. LPA met with Administrator Victoria Reyes. LPA arrived at the facility and had temperature checked and health questions asked. Facility was found to be clean and at a comfortable temperature with all exits free from obstruction. Resident bedrooms, common areas, kitchen & food storage areas were inspected. Fire Extinguishers were found to be charged and inspected within the last 12 months. Toxins are stored and not accessible. There was a supply of cleaners, hygiene products and paper products available for resident use. Facility has submitted and received approval for a Covid Mitigation plan. Posters are in place at the entrance and throughout the building. The entrance area has a small table with hand sanitizer, thermometer and other items designated for visitors and staff before coming into work or visit. Facility has PPE supplies. Medications are secure and not accessible to residents. Facility has a 30-day supply of medication. Residents do not typically wear masks inside the facility but have them available. There are notices at the entry that visitors shall wear masks while inside the facility. All staff had masks on during this visit. There were no deficiencies found in the areas inspected. No citations issued.the state’s words, verbatim · CDSS document, May 4, 2022

Allegation investigated: Facility staff does not answer the phone

At approximately 8:30AM, Licensing Program Analyst (LPA) Chris Arnhold arrived at this facility unannounced to deliver findings for the above allegation. LPA met with Administrator Victoria Reyes. Based on interviews conducted and observation, the allegation that facility staff does not answer the phone is unsubstantiated. During LPA's visit on 02/11/2022, LPA observed facility staff answer the phone on several occasions. Administrator explained to LPA that there are times a resident may be on the phone and does not understand what the call waiting beep means, and the call would not be answered. There are other times staff may be assisting a resident and unable to answer. Administrator told LPA they answer the phone as often as possible. Although the allegations may have happened or are valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the allegations are Unsubstantiated. No citations issued during this visit. Unsubstantiatedthe state’s words, verbatim · CDSS document, Mar 24, 2022 · control 21-AS-20220204102539

The state marks this report as 3 pages; the online copy we transcribed has 1. You can request the full file from the county licensing office.

Type of visit: Required - 1 Year

Licensing Program Analysts (LPAs) Shannan Hansen & Chris Arnhold conducted an unannounced Annual Required – 1 yr. Infection Control inspection to this facility and was welcomed by Administrator Victoria Reyes. There were 4 residents present at the facility of a max capacity of 6. All staff are temperature checked and logged each shift. LPAs toured the facility with Victoria Reyes. During our tour on 7/8/2021, facility was found to be clean and at a comfortable temperature with all exits free from obstruction. Resident’s bedrooms, common areas, kitchen & food storage areas were inspected. Fire Extinguishers were found to be last charged on 2/2021 at the time of the visit. Smoke Detectors & 1 Carbon monoxide detector was found to be operational during the visit. There was a sufficient supply of both perishable and nonperishable foods as required by Title 22 Regulations. Facility staff understands that food stored in the kitchen refrigerator must be properly stored as per regulations. There is a supply of cleaners, hygiene products and paper products available for residents. All resident’s bedrooms have lighting & appropriate furnishings. Toxins and other cleaning supplies are stored in a locked cabinet in the laundry room. Infection Control: Facility has submitted a mitigation program plan that has been approved. Posters have been placed at facility. Facility has PPE supply stored in closet adjacent to front door and in cabinet in garage. Residents’ medications are stored and locked in a cabinet in the front room/kitchen. Facility has a 30-day supply of medication for residents. Residents do not wear masks inside the facility. In addition, facility has a designated area for visitors outside which are being allowed for scheduled visits. Residents have also available facetime and telephone calls when contacting with family members and others. No citations issued at this time.the state’s words, verbatim · CDSS document, Jul 8, 2021