Napa Valley Royale

Type of visit: Required - 1 Year

At approximately 1:30 PM, Licensing Program Analyst (LPA) Julie Florio arrived unannounced to conduct a required 1-year annual inspection and met with Michelle and Kirk Simpson, Licensees. Facility is a Residential Care Facility for the Elderly (RCFE) with one (1) resident in care. Facility is approved for six (6) non-ambulatory residents, has a Dementia Care Plan, and has a Hospice waiver for two (2). At approximately 2:45 PM, LPA initiated a tour of the facility with Licensees and observed the following: Facility is a one story home, was a comfortable temperature, and passageways were free from obstructions. Water temperatures in residents' bathrooms measured within the allowable range of 105 to 120 degrees F per Title 22 regulations. LPA observed a supply of clean linens, and hygiene, incontinent care, and paper products available for residents. Residents' bedrooms were inspected and observed to have all the appropriate furnishings as outlined in Title 22 regulations. Cabinets containing cleaning supplies and other items that could pose a risk were locked. Facility has at least two days of perishable food and one week of non-perishable foods, as well as an emergency water supply. Medications were centrally stored and locked. There is a shaded seating area in the front and backyards with outdoor space for activities. LPA observed a locked structure on the property which contained mostly tools. Facility has internet access and an internet access device available for resident use as required per regulation. Facility changed telephone and internet carriers, and Licensees agree to provide the Department with the updated phone number immediately to bring the facility into compliance with regulation. Facility's fire extinguisher was observed charged and was last serviced 04/2025. Smoke and Carbon Monoxide detectors were tested and operational during inspection. Continued on LIC809-C... Continued from LIC809C... Facility agrees to conduct quarterly disaster drills in order to operate in compliance with regulation. LPA observed the facility's infection control plan, first aid kit, PPE, and emergency supplies for emergency preparedness. LPA reviewed facility's emergency disaster plan last updated 05/2025. Licensees state that most of the residents' family members coordinate residents' medical and dental appointments and transportation to and from visits. However, Licensees are available to assist with this as needed. Facility does not handle P&I. Licensee provided LPA with proof of liability insurance. LPA discussed the Department's Technical Support Program (TSP) with Licensees who agreed to utilize this service. LPA will submit a referral for Licensees for assistance with record keeping. LPA will return at a later date to conduct staff, resident, and medication records review. Updated copies of the following documents are to be submitted to CCL within 30 days of this visit: LIC500 - Personnel Report (updated) LIC610D - Emergency Disaster Plan (Updated) No deficiencies cited during today's inspection. Exit interview conducted with Licensees. Signature on form confirms receipt of documents.the state’s words, verbatim · CDSS document, Dec 9, 2025

Type of visit: Prelicensing

At approximately 9:00AM, Licensing Program Analyst (LPA) Chris Arnhold arrived at this facility for the purpose of completing a pre-licensing evaluation. LPA met with Applicant and toured the facility. The following areas were noted during the previous inspection on 11/27/2024: Backyard sidewalk trip hazards: LPA observed the trip hazards have been corrected on the walkways in the backyard. Rear deck repair: Boards have been replaced on the rear deck. 7 day hot water temperature log: Temperature log was completed by applicant and water was tested within regulation during this visit. Night light in hallway to common bathroom: Lights have been installed to light the walkways inside. Lock on staff bathroom door: Combination lock installed. Background clearance: Paperwork is being worked on and will be submitted by the deadline. Component III orientation was conducted at facility on 11/27/2024. The pre-licensing evaluation has been completed. LPA will submit the application packet for a final review and approval from the Licensing Program Manager.the state’s words, verbatim · CDSS document, Jan 15, 2025

Type of visit: Prelicensing

At approximately 9:00AM, Licensing Program Analyst's (LPA's) Bobby Frank and Chris Arnhold arrived at this facility for the purpose of completing a pre-licensing evaluation. LPA's met with Applicant and toured the facility. The Facility is a 6-bedroom, 4.5-bathroom, single story home. Fire extinguishers were mounted and charged. Smoke/ Carbon Monoxide detectors were tested and in working order. There was a locked area for medications and several for toxins and cleaning supplies. Beds were made with appropriate linens. Resident rooms contained the required furniture in 6 of 6 rooms. Hot water temperature was tested and found to be above regulation between 105 degrees F and 120 degrees F at faucets accessible to residents. This facility has submitted a request for a hospice waiver for 2 and a plan to care for residents with dementia. The plan has been reviewed and all physical plant safeguards have been checked. The applicant's states that they do not plan to advertise at this time. A fire clearance for this facility has been granted for 6 non-ambulatory residents. The following items will need to be corrected before the application will be submitted for review: Backyard sidewalk trip hazards Rear deck repair 7 day hot water temperature log Night light in hallway to common bathroom Lock on staff bathroom door Background clearance Applicant could not provide evidence of Liability insurance at the time of this visit. Applicant will provide evidence of liability insurance prior to accepting residents. Component III orientation was conducted at facility. Applicant conveyed a good knowledge of Title 22 regulations. The pre-licensing evaluation has been completed. Upon receipt and verification of the requested items, LPA will submit the application packet for a final review and approval from the Licensing Program Manager. This report was reviewed with applicant and a copy was provided.the state’s words, verbatim · CDSS document, Nov 27, 2024

Type of visit: Office

Component II completion: Successful Facility Type: RCFE Application Type: INITIAL Capacity: 6 Census (if any clients in care): 0 COMP II Participants: Name - Michelle Simpson CEO/Administrator Interview Method: Telephone interview On October 18, 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 that they have read and understand community care facility licensing laws included in the Health and Safety Codes and the California Code of Regulations Title 22. Signed LIC 809 with copy of photo ID have been obtained. During COMP II, CAB analyst confirmed Applicant/Administrator’s understanding of the following areas: 1. Facility operation: License type, client/resident populations, and program 2. Admission Policies 3. Staffing requirements & Training 4. Restrictive/Prohibited Health Conditions 5. General provisions 6. Emergency Preparedness 7. Complaints & Reporting 8. Pre-Licensing Readinessthe state’s words, verbatim · CDSS document, Oct 18, 2024