<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 079201006
Report Date: 08/19/2022
Date Signed: 08/19/2022 01:02:11 PM


Document Has Been Signed on 08/19/2022 01:02 PM - It Cannot Be Edited

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:VIAMONTE AT WALNUT CREEKFACILITY NUMBER:
079201006
ADMINISTRATOR:MELODY MITCHELL ALLENFACILITY TYPE:
741
ADDRESS:2801 SHADELANDS DRIVETELEPHONE:
(925) 954-2600
CITY:WALNUT CREEKSTATE: CAZIP CODE:
94598
CAPACITY:300CENSUS: 167DATE:
08/19/2022
TYPE OF VISIT:Case Management - COVID-19UNANNOUNCEDTIME BEGAN:
10:45 AM
MET WITH:Christine JeanTIME COMPLETED:
01:15 PM
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
On 8/19/22, Licensing Program Analyst (LPA) J. Sampair made an unannounced COVID-19 case management visit of the facility. The LPA met with Director of Wellness, Christine Jean, and reviewed when COVID-19 infected residents of a Continuing Care Retirement Community (CCRC) are required to have a minimum 10-day isolation period as written in PIN 22-15-ASC.

During the meeting, Ms. Jean acknowledged and demonstrated her detailed understanding of those circumstances under which CCRC Independent Living (IL) Residents are required to be in isolation for a period of no less than 10 days. She stated that IL Residents R1 and R2, both of whom had been reported COVID-19 positive earlier in the week, will remain in isolation at least 10 days since they are symptomatic and that they have been directly exposed to another person infected with COVID-19.

Ms. Jean also explained the procedures their facility uses to care for COVID-19 infected IL Residents in isolation. She stated that no signage is attached to their doors identifying them as COVID-19 infected, which was consistent with honoring their right to privacy. During residents' isolation period, no staff members or other residents enter the resident's home. The facility delivers meals to the resident's front door, and all of the cleaning services stop until the isolation period has ended. After the isolation period has ended, Housekeeping utilizes a robot to apply a disinfectant within the resident's home that requires at least 1 hour for the home to be unoccupied, before the regular housekeeping services restart.

No deficiencies were issued. An exit interview was conducted and a copy of this report provided.
SUPERVISOR'S NAME: Harpreet HumpalTELEPHONE: (510) 285-3928
LICENSING EVALUATOR NAME: James SampairTELEPHONE: (510) 286-4201
LICENSING EVALUATOR SIGNATURE:
DATE: 08/19/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 08/19/2022
This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)
Page: 1 of 1