Eagles Nest Retirement Ranch

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Jacqueline Shaw Ross made an unannounced visit to the facility to conduct an annual licensing inspection. LPA met with Maria Richley , Licensee/Administrator, and discussed the purpose of the visit. A tour of the facility was conducted inside and out. The facility is a seven (7) bedroom, three (3) bathroom one story home located at 2100 Zachary Glen Lane, Escondido, CA 92027. LPA, accompanied by Administrator, conducted a general overall inspection, which included but was not limited to the following: Facility physical plant, food service, medication management, record review and facility administration. The facility is licensed to serve six (6) elderly residents, all of whom may be non-ambulatory, of which one (1) may be bedridden in bedroom number 1. Hospice waiver is approved for six (6). During today's inspection, LPA observed the following: Indoor and outdoor passageways were observed to be free from obstruction. There are no pools or bodies of water. Per Administrator, there are no firearms or other dangerous weapons in the facility. Poisons and cleaning agents were observed to be secured and inaccessible to residents in care. Facility fire clearance is maintained in conformity with State Fire Marshal regulations. LPA toured every room in the facility. Rooms designated as resident rooms had the required furnishings and sufficient lighting available. Licensee provided each resident with clean linen, in good repair, and sufficient hygiene products for personal use. The hot water temperature measured at 117.9 degrees F. The facility had a functioning carbon monoxide detector, multiple smoke detectors, and multiple operable fire extinguishers. The facility was stocked with a two-day supply of perishable food items and a seven-day supply of nonperishable food items. Staff records were reviewed and contained CPR/First Aid training, Health Screening Reports, and annual training. Resident records were reviewed and had a current Physician's Report, Resident Appraisal, Identification and Emergency Information, Admission Agreement, and Centrally Stored Medication and Destruction Records. Medications were stored in a locked cabinet and were labeled and maintained in compliance with label instructions. No deficiencies were observed during today's visit. This report was discussed with the Administrator. A copy of this report, along with Licensee/Appeal Rights, was provided to at the conclusion of the visit.the state’s words, verbatim · CDSS document, Oct 12, 2023

Type of visit: Annual/Random

On July 29, 2023, Licensing Program Analyst (LPA), Venus Mixson arrived to the facility unannounced in order to conduct the required annual inspection. LPA Mixson met with Administrator, Maria Richley, introduced herself, and stated the purpose of the visit. LPA Mixson toured the facility and inspected the inside and outside of the facility. The facility is a single story home located at 2113 Drew Road Escondido, Ca. 92027. Physical Plant: The physical plant is clean, neat, and orderly. Outdoor and indoor passageways are free of obstruction at the time of the inspection. The facility has six bedrooms, and each room has the required furniture and storage space, and sufficient lighting. All rooms were equipped with the required items as per Title 22 regulations. The hot water temperature was tested and was within regulations. The restrooms were equipped with liquid soap and paper towels. The LPA toured the kitchen, living room and the TV room. The kitchen area was clean, organized, and free or odors. One caregiver was present preparing the morning meal. All food requirements were met, the seven day supply of non perishables, and the two day supply of perishable. The LPA inspected the common areas, and the laundry room. Smoke detectors were in the green and operable. The fire extinguisher was in the green, and last reviewed for services in 2023. Carbon monoxide alarms, along with smoke detectors were observed, and were operable. CONTINUED ON 809-C CONTINUED FROM 809 There was a locked and centralized storage closet area for medications. Medications are contained in bubble packs and are delivered by a pharmacy. Emergency disaster plans, personal rights, and complaint procedures were posted in a prominent area. There was adequate seating in the common areas and sufficient space for family visitors, inside and outside, as well. LPA Mixson observed menus posted in visible areas. The LPA observed the previous Community Care Licensing (CCL), forms which are required to be available at the facility for public review for three years. LPA Mixson reviewed four staff files, six resident files, and conducted two staff interviews and two resident interviews. There were no observable Title 22, Division 6 Regulation violations observed and/or cited during todays visit. An exit interview was conducted and a copy of this report was provided to the Administrator.the state’s words, verbatim · CDSS document, Jul 29, 2023

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Tricia Danielson arrived unannounced to the facility to conduct an annual inspection with emphasis on infection control. LPA met with Licensee Maria Richley and explained the purpose of today’s visit. The facility's Infection Control Plan was submitted as required and is on file. During the inspection, LPA toured the facilty with Richley and inspected the facility for regulatory compliance related to infection control. LPA observed appropriate postings at the facility front entrance, including COVID-19 symptoms postings and visitation policies, which were in accordance with the Department's guidelines. LPA observed that the facility was also equipped with sufficient hand hygiene supplies, sufficient cleaning/disinfecting provisions, and a supply of Personal Protective Equipment (PPE). LPA observed facility staff wearing appropriate face coverings. The facility has a designated infection control lead person/infection preventionist who has been tasked with tracking all COVID-19 cases and/or suspected cases, ensuring staff are trained in the facility's infection control procedures, and ensuring infection control measures are implemented. The facility has a plan in place which follows Community Care Licensing Division guidelines for COVID-19 testing, isolation, and properly caring for residents and staff with COVID-19 positive results and/or exposures. The facility also has a plan in place to monitor residents regularly for any changes in condition and to subsequently notify the resident's physician, emergency personnel, and responsible party in the event the resident presents with any COVID-19 symptoms. No deficiencies were observed during today's visit. An exit interview was conducted with Chavez due to Richley's departure for an appointment, and a copy of this report was provided along with LIC9102- Advisory Note, Technical Assistance.the state’s words, verbatim · CDSS document, Oct 24, 2022

The state marks this report as 2 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 Analyst (LPA) Liliana Silveira conducted an unannounced annual required licensing inspection. After identifying themselves and disclosing the purpose of the visit, LPA was granted entry by Administrator Maria Richley. An inspection tour was conducted inside and out, including verifying compliance with statutes, regulations and other written requirements that are relevant to protecting the health of residents in care and staff, including in the area of infection control practices. LPA assessed the strategies the facility is employing for the prevention, containment and mitigation of COVID-19, including the implementation of infection control guidance, staff retention and essential health and safety. The Plan for Epidemic Outbreak Specific to COVID-19 Mitigation Plan Report (LIC 808) was reviewed with Maria, including: Residents in Care, Staff, Visitors, Facilities without COVID-19, Infection Control and Physical Distancing. LPA observed one central entry point for universal entry, a sign-in policy and symptom screening initiated at entry for all staff, visitors and residents; the facility’s visitor policy posted at the entrance, signs throughout the facility promoting hand hygiene, cough/sneeze etiquette and physical distancing; face coverings worn by staff and face coverings recommended to residents; hand sanitizer/hand washing stations readily available; a designated visitation area; emergency agencies’ contact information posted in a location visible to staff and residents; and an adequate supply of PPE. The facility is in compliance with and has implemented infection control practices as outlined in its LIC 808. No deficiencies were observed during today's visit. An exit interview was conducted with Maria Richley and a copy of this report along with the Licensee Rights (LIC 9058 FAS 01/16) was provided to them via email; an email read receipt confirms receipt of these rights.the state’s words, verbatim · CDSS document, Jul 30, 2021