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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 019200873
Report Date: 08/25/2021
Date Signed: 08/25/2021 04:40:38 PM

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1515 CLAY STREET, STE. 310
OAKLAND, CA 94612
FACILITY NAME:POINT AT ROCKRIDGE, THEFACILITY NUMBER:
019200873
ADMINISTRATOR:SAVOIE, DEBORAHFACILITY TYPE:
740
ADDRESS:4500 GILBERT STREETTELEPHONE:
(510) 658-9266
CITY:OAKLANDSTATE: CAZIP CODE:
94611
CAPACITY:186CENSUS: 139DATE:
08/25/2021
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
02:15 PM
MET WITH:Deborah Savoie, AdministratorTIME COMPLETED:
04:50 PM
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On 8/25/2021 at 2:15pm, Licensing Program Analysts (LPAs) Catherine Lin and Grace Luk arrived unannounced to conduct an annual required/infection control inspection. LPAs met with the administrator, Deborah Savoie and informed her the purpose of the visit.

LPAs toured the facility with Deborah through all 6 floors of facility including memory care units. LPAs inspected the lobby, storeroom, activity rooms, common areas, kitchen, dining areas, and bathrooms. Bathrooms were observed with trash bins with lids, liquid soap, paper tower, and hand-washing signs. Each floor hallway has PPE (masks, gloves, hand sanitizer and gowns) available with trash bins. Medication were locked in the Med room. Facility has sufficient PPE and food supplies.

COVID-19 postings were observed in common areas and hallways. Facility has hand sanitizer available by the entrance door. Staff screens visitors prior to allowing entry. Facility has visitor's log. Facility has a copy of LIC808 Mitigation Plan and Emergency Disaster Plan on file.

Exit interview conducted. The copy of this report provided
SUPERVISOR'S NAME: Bennett FongTELEPHONE: (510) -62-2621
LICENSING EVALUATOR NAME: Catherine LinTELEPHONE: 510-286-4201
LICENSING EVALUATOR SIGNATURE:

DATE: 08/25/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/25/2021
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC809 (FAS) - (06/04)
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