Villa Monticello Assisted Living

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Jacqueline Shaw Ross made an unannounced visit to the facility for the purpose of an annual review. LPA was greeted by Dolores McGonigal, Senior Team Leader and explained the purpose of the visit. The facility has the capacity to serve 29 non-ambulatory elderly residents, ages 60 and above. There is a hospice waiver for 15 residents and the facility has 10 residents receiving hospice care, which is in compliance with the hospice waiver. During today’s visit, a tour of the facility was conducted inside and out. During the inspection, LPA, accompanied by the Senior Team Leader, observed the following: carbon monoxide and smoke alarms were present and operational. Facility records reflect that the last disaster drill was conducted on 7/27/2023. According to the Senior Team Leader, there are no weapons and/or ammunition housed on the facility premises. No pools and/or bodies of water were observed. Exterior and interior passageways were free from obstructions. Lighting was present in the resident units. The indoor temperature measured at 72 degrees Fahrenheit in Building 1 and 73 degrees Fahrenheit in the Main Building during the visit. The facility was stocked with a 2-day supply of perishable food items and a 7-day supply of non-perishable food items. Residents had clean and sufficient bed linens, towels, and washcloths. Residents’ rooms were equipped with the required furnishings. Residents’ bathrooms were observed to be operational. Toilets and showers were observed with grab bars, and resident showers had nonskid mats. Water temperature in a sample of resident bathrooms measured at 115.5 degrees Fahrenheit in Building 1 and 117.6 degrees Fahrenheit in the Main Building, both of which are within the requirement of regulation. There are currently no residents in Building 3. Continued from LIC 809.... Medications were stored in a locked medication cart and maintained in compliance with label instructions. Medications are dispensed according to physicians orders. A sample of resident records were reviewed, and reviewed records were complete and up to date. Staff present during the time of the visit had current criminal background clearance, proof of current first aid and CPR training, and staff training. The Administrator’s Certificate for Orlando Dy expires on 6/17/2024 and annual fees are current. No deficiencies were cited during today’s annual inspection. An exit interview was conducted with Dolores McGonigal, Senior Team Leader and a copy of this report was provided.the state’s words, verbatim · CDSS document, Oct 27, 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 Med Tech Iezza Doctolero and explained the purpose of today’s visit. The facility has a Mitigation Plan Report (Plan) on file as required however, an Infection Control Plan has not been received. The Licensee was granted a waiver under the authority of Governor Newsome's Executive Order N-11-22 issued on June 17, 2022, and the Licensee agreed to submit the Infection Control Plan by December 24, 2022. During the inspection, LPA 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. As documented in the Plan, 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 Plan also indicates 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 Plan details that 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, and a copy of this report was provided along with LIC9102- Advisory Notes, Technical Assistance.the state’s words, verbatim · CDSS document, Oct 24, 2022

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: Case Management - Other

Licensing Program Manager (LPM), Simon Jacob and Licensing Program Analyst (LPA), Sabel Martinez conducted an unannounced case management visit to follow up on incident reports received on November 29, 2021 regarding medication issues. LPM and LPA were greeted by Manager Dolor Mcgonigal, introduced themselves, and stated the purpose of the visit. During today's visit, LPM and LPA conducted an interview with Ms. Mcgonigal, reviewed facility protocols regarding medication dispersal/administration, reviewed staff records, and conducted a tour of the facility. No deficiencies were cited during today's visit. An exit interview was conducted with Manager Dolor Mcgonigal. A copy of this report, along with the Licensee Rights (9058 01/16) were emailed to Administrator Orlando Dy via electronic mail. An email read receipt confirms these documents were received.the state’s words, verbatim · CDSS document, Dec 10, 2021

Type of visit: Case Management - Legal/Non-compliance

Licensing Program Analyst (LPA) Dawn Segura visited the facility to conduct an unannounced case management visit. Facility is currently under a non-compliance plan that includes increased monitoring and visits due to the facility’s probationary license status. LPA was granted entry into the facility and met with Dolores McGonigal, Resident Services Manager, with whom she discussed the purpose of the visit. During today's visit, LPA toured the facility and verified compliance with infection control practices. LPA observed one central entry point for universal entry screening; routine symptom screening initiated at entry for staff, residents, and visitors; a sign-in policy enacted for all visitors; signs posted at facility entrance with the facility’s visitor policy and signs in the facility to promote hand hygiene, cough/sneeze etiquette and physical distancing; face coverings worn by staff; hand sanitizer readily available; available visitation areas; emergency agencies’ contact information posted in a location visible to staff and residents; and an adequate supply of cleaning products and PPE. No deficiencies were cited during today’s visit. An exit interview was conducted with Dolores McGonigal, Resident Services Manager, and a copy of this report and Licensee Rights (LIC 9058 FAS 01/16) were provided to the Resident Services Manager via email. An electronic receipt of confirmation was requested to be sent to LPA upon receipt of the documents.the state’s words, verbatim · CDSS document, Aug 16, 2021