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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 107208908
Report Date: 06/30/2021
Date Signed: 06/30/2021 12:57:46 PM

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1314 E SHAW AVE
FRESNO, CA 93710
FACILITY NAME:WESTMONT OF FRESNOFACILITY NUMBER:
107208908
ADMINISTRATOR:HAMILTON, PAMELAFACILITY TYPE:
740
ADDRESS:7442 & 7468 N MILLBROOK AVETELEPHONE:
(858) 729-6720
CITY:FRESNOSTATE: CAZIP CODE:
93720
CAPACITY:155CENSUS: 109DATE:
06/30/2021
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
10:23 AM
MET WITH:Administrator, Pamela Hamilton and Resident Services Director, Olaf BeckerTIME COMPLETED:
12:15 PM
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On 06/30/2021, Licensing Program Analyst (LPA) Walton arrived unannounced to conduct an Annual Inspection. LPA introduced self and requested to meet with the Administrator. LPA disclosed the purpose of the visit with Administrator (ADM) Pamela Hamilton and Resident Services Director (RSD), Olaf Becker. Facility has one central entry/exit point. Visitor log-in/temperature check observed at the front entrance of the facility.

Facility tour conducted with ADM and RSD. Facility did not have obstructions blocking pathways, entrances, and exits. No fire clearance issues observed during this inspection. Staff observed to be wearing facial coverings. Residents encouraged to wear facial coverings in common areas and when out of the facility. High traffic areas are sanitized at least once a day. LPA observed signs promoting cough sneeze etiquette, hand-washing, and social distancing. LPA observed hand-sanitizer dispensers at the front entrance and elevator.

LPA observed hand-washing signs in facility bathrooms. Bedrooms at this facility are single occupant. Resident medications are kept secure in the medication room. LPA observed a 30 day supply of medications. LPA observed a 30 day supply of PPE and cleaning supplies. Staff records reviewed for good health and infection control training. Residents files observed to have updated emergency contact information.

No deficiencies cited during this inspection.

An exit interview was conducted. ADM informed that as a COVID-19 precautionary measure, this report will be provided via email and an electronic read receipt confirms receiving this document. Facility Representative signature on file.
SUPERVISOR'S NAME: Melinda HoffmannTELEPHONE: (559) 650-7914
LICENSING EVALUATOR NAME: Alexandria WaltonTELEPHONE: (559) 246-0128
LICENSING EVALUATOR SIGNATURE:

DATE: 06/30/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/30/2021
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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