Lake View Villa

Type of visit: Case Management - Other

Licensing Program Analyst (LPA) Jill Nakagawa arrived unannounced to conduct an inspection. There were 3 residents and 2 staff present at the time of inspection. LPA Nakagawa found the facility clean and a comfortable temperature. There was one resident watching television in the living room. The other two residents were resting in their rooms. All doors were free from obstructions and alarms for the doors were armed. Kitchen was clean and well-organized. Medication room was found to be in good order. LPA found 7-day pill containers in med room (empty) and reminded staff that medication must be stored in their original containers. Residents looked comfortable, clean and appropriately dressed. The outdoor areas were well-kept and free of debris. There were no deficiencies found at the time of inspection. There were no citations issued.the state’s words, verbatim · CDSS document, Nov 3, 2023

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Jill Nakagawa arrived unannounced to conduct an Annual required – 1 yr. inspection on 5/19/2023 and met with Administrator, Stanford Madriaga. There are 4 residents living in the home. There were 3 staff present at the time of inspection. LPA toured the facility at 2:35 PM and facility was found to be clean and at a comfortable temperature with all exits free from obstruction. The home does not have any bodies of water and Administrator states that there are no weapons in the home. There was a sufficient supply of both perishable and nonperishable food as required by Title 22 Regulations. Food stored in the kitchen refrigerator was properly stored. Toxins are stored in a locked closet. There was a supply of hygiene products and paper products available for residents. Facility is equipped with auditory alarms at all exit doors. Bathrooms were equipped with necessary grab bars, non-slip floors/mats and paper towels. All bedrooms have lighting & appropriate furnishings. File review was initiated. Resident and staff files were reviewed. Medication reviewed. Staff have required First Aid/CPR certificates expiring 2/6/25. Administrator Certificate for Administrator, Stanford Madriaga #6031652720 expires June 24, 2024. Required postings were observed. No citations issued. Exit interview conducted with Administrator, Stanford Madriaga.the state’s words, verbatim · CDSS document, May 19, 2023

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Jill Nakagawa conducted an unannounced Annual Required Inspection and met with Administrator Stanford Madriaga. The inspection is focused on the Infection Control procedures and practices of this facility. All visitors, essential visitors, and staff are screened upon entry; temperatures are taken, and screening questions are to be answered before being allowed to remain in the facility, all information is logged. Residents are screened and observed for any changes, all information is logged. Facility was found to be clean, orderly, and at a comfortable temperature of 75 F with all exits free from obstruction. Toxins are stored in locked laundry room. There was a sufficient supply of hygiene products, cleaners, and paper products for use as needed. Medications were stored and locked in closet making them inaccessible to residents and staff that do not handle medications. All exit alarms were on exit doors and working properly. All bathrooms had grab bars, and non-slip mat/flooring for bathing as needed. All postings were up and visible to all as required. Facility has a sufficient supply of personal protective equipment (PPE). Administrator and staff had a mask on during the LPA's inspection. There is an approved hospice waiver for five (5) residents. Mitigation plan was approved by the Department on 08/04/21. Fire clearance is approved for six (6) non-ambulatory, which includes one (1) bedridden. There were four (4) residents in care at the facility during this inspection. No deficiencies during today's inspection. No citations issued. Exit interview conducted with the Administrator.the state’s words, verbatim · CDSS document, May 31, 2022

Type of visit: Required - 1 Year

Licensing Program Analysts (LPAs) Katrina Walters and Jill Nakagawa arrived unannounced to conduct an Annual Required inspection and met with Stanford Mariaga, Administrator. The annual inspection is focused on the Infection Control procedures and practices of this Residential Care Facility for the Elderly. LPAs observed a screening station at the entrance of facility which had hand sanitizer, a thermometer, disposable mask and a sign-in sheet for visitors. Visitors are screened for COVID-19 symptoms (including temperature check) upon arrival to the facility. Staff and client's temperatures are taken 2 times a day and is documented. LPAs conducted a walk-through of the facility with Administrator and observed COVID-19 precaution postings. Staff clean and disinfect the facility daily. High touched surface areas are disinfected after each use. The facility has a designated visitation area, provides virtual visits and phone calls for family to stay in contact with clients. Administrator stated staff are surveillance tested for COVID-19 as a precaution.LPAs observed 4 clients in care. Facility staff have completed training on infection prevention, symptoms, transmission and PPE use. N-95 respirator Fit testing was done. LPAs observed a 60+ day supply of PPE including gloves, face shields, N-95 respirators, surgical masks and gowns. All of staff wore a face mask during this visit. The facility has submitted a COVID-19 Mitigation Plan Report on Epidemic Outbreaks specific to COVID-19 to the California Department of Social Services. Exit interview conducted with Administrator, whose signature on this document confirms receipt. No deficiencies cited during this inspectionthe state’s words, verbatim · CDSS document, Jul 21, 2021