Willow Springs Alzheimer's Special Care Center

Type of visit: Required - 1 Year

On 03/12/2026, Licensing Program Analyst (LPA) Marisa Chiarelli, arrived at the facility unannounced to conduct a 1-Year Required Annual Inspection. LPA met with executive director Patricia Clark and explained the purpose of the visit. LPA Chiarelli and ED toured facility together to ensure health and safety of residents in care. Areas toured include but are not limited to: common areas, resident bedrooms, backyard, kitchen, dining room and common restrooms. LPA observed the facility to be clean, in good repair and odor-free and each bathroom to have the necessary grab bars, non-skid flooring or shower chair, paper towels, and trash can with lids. Facility has a 2-day perishable and a 7-day non-perishable amount of food and sharps to be locked. Kitchen was safe and in good repair. Hot water temperature was measured at 112 F. LPA observed several fire extinguishers, fire detectors, and carbon monoxide detectors. All in working order. All chemicals are locked and laundry room is locked up only accessible by staff. All medications are locked and stored away per regulations requirements. In the areas toured no immediate health, safety, or personal rights violations were observed. LPA reviewed a total of six (6) residents' files which had all required documentation and six (6) staff files which were missing some documentation and are referenced in LIC 9102. Several topics were discussed. No deficiencies are being cited as a result of today’s inspection. Exit interview conducted and copy of report left at the facility.the state’s words, verbatim · CDSS document, Mar 12, 2026

The state marks this report as 4 pages; the online copy we transcribed has 3. You can request the full file from the county licensing office.

Type of visit: Prelicensing

April 8, 2025, 1:00 PM Licensing Program Analysts (LPA’s) Sarah Benson and Kayla Adkison arrived at the facility to conduct a pre-licensing inspection. LPA ‘s met with Executive Director, Patricia Clark and explained the purpose of the visit. Key topics of the Comp III were discussed and the full presentation was waived. The fire marshal has approved the fire safety inspection request. The facility is licensed for 56 non-ambulatory residents of which all may be bedridden. This facility has been previously licensed and is currently changing management companies. LPA confirmed there are currently 49 residents at the facility and 14 residents are receiving hospice services. Facility will request a new hospice wavier. The facility has a memory care unit that has (30) bedrooms with (56) beds and (32) bathrooms. The inside of the facility was observed to be in good condition and repair. LPA’s observed dining area with sufficient tables and chairs for residents. LPA ‘s observed common areas are clean and in good reapir. The hot water meets the requirement for licensing within a range of 105 - 120 degrees F. Food storage meets Title 22 regulation requirements. Plates, utensils, pots, and pans were in place during the inspection. Bedrooms were observed to have furniture as required by Title 22 Regulations. All beds were made up with linens and bedspreads. Each bedroom has ample storage. Bathrooms were observed to be in good repair. The facility has a locked medication cart which is located in the locked medication room. Storage and lighting are adequate in the facility. Cleaning supplies and toxins are locked in janitorial rooms. Knives are locked up in the kitchen. Laundry room was observed to be locked and washer and dryers were ready for use. Facility observed to have (7) fire extinguishers which were inspected by the fire marshal. Exit doors were observed to have alarms. Resident/Staff files observed to contain required paperwork. The back yard was observed to be free of obstructions and well kept. The applicants have passed the pre-licensing portion of the application process. LPA will contact the Central Application Bureau. No deficiencies according to CCR Title 22, Division 6. Exit Interview and copy of report was provided to the Executive Director.the state’s words, verbatim · CDSS document, Apr 8, 2025

Type of visit: Office

Facility Type: Residential Care Facility for the Elderly Application Type: Change of Ownership Capacity: 56 Census (if any clients in care): 44 COMP II Participants: PATRICIA CLARK, JONATHAN LITT Interview Method: Telephone interview On December 27, 2024, applicant/administrator participated in COMP II. Identification of the applicant and administrator was verified through interview questions based on photo ID and other identifying personal information. During COMP II, applicant and administrator confirmed the understanding of the California Code Title 22 Regulations. Signed LIC 809 with copy of photo ID have been obtained. During COMP II, CAB analyst confirmed Applicant/Administrator’s understanding of following areas: 1. Facility operation: License type, client/resident populations, and program 2. Admission Policies 3. Staffing requirements & Training 4. Restricted/Prohibited Health Conditions 5. General provisions 6. Emergency Preparedness 7. Complaints & Reporting 8. Pre-licensing readinessthe state’s words, verbatim · CDSS document, Dec 27, 2024