Northridge Garden Villa

Type of visit: Required - 1 Year

On 10/16/2023 Licensing Program Analyst (LPA) Mariana Agban conducted an Annual Required visit and inspection of the facility. Upon arrival, LPA was greeted by staff and explained the reason for the visit. Shortly after, LPA met with Back up Administrator Paul Apolinario. A tour of the physical plant was conducted at 10:40AM. Kitchen: The kitchen appeared clean and the appliances and fixtures functional. LPA found a sufficient amount of perishable and non-perishable food at the facility; properly stored. Sharp objects were stored in locked drawers and cabinets. Medications are locked in the kitchen cabinet. LPA observed fully stocked first aid kit in the kitchen cabinet. Laundry Area: located through the kitchen. Appliances observed to be in good repair. Door was locked and thus laundry detergents were inaccessible to residents. Temperature: Facility maintains a comfortable temperature of 77 degrees Fahrenheit. Surrounding Grounds: Entry/exits were observed to be locked. The outdoor area was clean and free of hazards .There is a pool observed to be enclosed by a fenced and locked. Storage rooms and garage observed in the backyard area. Smoke Alarms and Carbon Monoxide: There are 2 fire extinguisher located in the dining room, and kitchen observed to be fully charged and was purchased on 10/22/23. Bedrooms: the facility has six (6) bedrooms. Four (4) designated for residents use in which they were clean, properly supplied and had functional fixtures and two (2) for staff. Bathrooms: All bathrooms observed properly supplied; with grab bars and non-skid mats installed. LPA observed water temperature to be 114.4 degrees F. Common Areas: These included the living room and dining area. The common areas were checked for cleanliness and furniture was checked for functionality. Common areas observed furnished appropriately. Resident Files: LPA conducted a file review of resident records to ensure compliance of licensing forms. Staff Files: LPA also conducted a file review of staff records to ensure forms and training are up to date and compliance with licensing forms. No deficiencies issued during today’s visit. Report was signed and delivered and an exit interview was conductedthe state’s words, verbatim · CDSS document, Oct 16, 2023

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Tihesha Smith conducted an unannounced One (1) Year Required Infection Control visit for this facility at 9:55 am. LPA met with facility staff and explained the reason for this visit. LPA conducted a tour of the physical plant at 10:10 am to ensure there are no health and safety hazards and facility is in compliance with Title 22 Regulations. There are hand sanitizing stations all over the facility including signs to wear a mask and other Covid 19 prevention protocol signs were posted on entry door. The facility has a total of six (6) bedrooms and three (3) bathrooms. The rooms are designated as follows: Four (4) rooms for residents; one (1) room used as Covid Quarantine Room and one (1) room for staff. The bedrooms had adequate bedding and linens such as sheets, pillowcases, mattress pads, and blankets for residents’ comfort and safety. There are two (2) bathrooms available for resident use. Each bathroom has posted “wash your hands” signs and the following items available: hand soap, paper towels, and trash cans. The hot water temperature was measured for the two (2) bathrooms to ensure it is within the required range for residents’ comfort and safety. The water temperature range was between 123.5- and 122.9-degrees Fahrenheit. Common areas were observed for the ability to safely serve the needs of residents. These included the living room and dining area. The common areas were checked for cleanliness and furniture was checked for functionality. Common areas observed furnished appropriately. LPA observed a sufficient supply of linens and toiletries in hall and living room closets. LPA reviewed the food service areas, food storage and supply (perishable and nonperishable foods). The kitchen food supply was observed and sufficient for the four (4) residents currently residing there. Two (2) days of perishable fruits, vegetables, milk, and eggs observed. The freezer is stocked with meats, poultry, and frozen vegetables. Sharp objects are stored in a locked drawer. The resident’s medications and first aid kit are locked in kitchen cabinets next to table and window. (Cont to 809 C) (Cont from 809) Laundry room appliances observed to be functional. Toxins locked in laundry room cabinets observed to be locked and inaccessible to residents. Smoke alarms and carbon monoxide detectors were present and function properly. The fire extinguisher located near laundry room current with receipt attached. There is a shaded area with furniture for residents’ use. A supply of PPEs stored in detached office/storage in back. Pool gate observed locked during today's visit. No Deficiencies cited. Exit interview conducted and copy of report printed.the state’s words, verbatim · CDSS document, Oct 31, 2022

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Wendell Smith conducted an unannounced annual required visit. LPA met with facility staff and explained the reason for this visit. At approximately 11:05 am a physical plant tour was started the LPA inspected facility for Fire Safety, Personal Accommodations and Services, Medication Procedures, and Food Service. The following was noted: Facility is a single story residence and consists of a total of six (6) bedrooms and three (3) bathrooms. Four (4) rooms are designated for resident use and two (2) are designated for staff use. Facility has dementia residents. All exit signal alarms were tested all exit alarms observed to be operable during visit. Smoke detectors and Carbon monoxide detector were tested and functioned properly during time of visit. Fire extinguishers were observed to be fully charged with services tag. Kitchen: The kitchen appeared clean and the appliances and fixtures functional during the time of visit. LPA observed a sufficient amount of perishable and non-perishable food at the facility; properly stored. Sharp objects are stored in a locked drawer. Cleaning supplies observed inaccessible locked up in the kitchen and laundry cabinets. Bedrooms: The resident bedrooms were properly furnished with at least one chair, night stand and sufficient lighting for each resident. The bedrooms had appropriate and adequate bedding and linens such as sheets, pillowcases, mattress pads, and blankets. Bathrooms: All bathrooms observed properly supplied; with grab bars and non-skid mats installed. Residents have sufficient amounts of supplies for personal hygiene. LPA measured the hot water in bathroom used by residents (in hallway) and observed water temperature to be 117 degrees F. Common Areas: These included the living room and dining area. The common areas were checked for cleanliness and furniture was checked for functionality. Common areas observed furnished appropriately. Surrounding Grounds (Outdoors): There is a shaded area with furniture for outdoor use. Pool gate observed locked during today's visit. Storage rooms and garage observed in the backyard area.the state’s words, verbatim · CDSS document, Nov 2, 2021