197608998-8-4-2022-31-AS-NRED-CGYRHW-20220804130301

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 197608998
Report Date: 08/04/2022
Date Signed: 08/04/2022 01:03:45 PM

Document Has Been Signed on 08/04/2022 01:03 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, 21731 VENTURA BLVD., STE. 250
WOODLAND HILLS, CA 91364

FACILITY NAME:	CANYON TRAILS AT TOPANGA SENIOR LIVING		FACILITY NUMBER:	197608998
ADMINISTRATOR:	SUSAN WEISBARTH		FACILITY TYPE:	740
ADDRESS:	7945 TOPANGA CANYON BLVD		TELEPHONE:	(818) 716-9900
CITY:	CANOGA PARK	STATE: CA	ZIP CODE:	91304
CAPACITY:	120	CENSUS: 93	DATE:	08/04/2022
TYPE OF VISIT:	Case Management - COVID-19	ANNOUNCED	TIME BEGAN:	10:55 AM
MET WITH:	Susan Weisbarth		TIME COMPLETED:	01:10 PM

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At 10:55 a.m. on 08/04/2022 Licensing Program Analyst (LPA) Nicholas Reed conducted a Technical Assistance visit with Public Health employees Brenna De Leon and Jolene Thoreson. LPA met with Executive Director Susan Weisbarth and Head Nurse Liliana Solorzano and disclosed the reason for the visit. Public Health employees, LPA, and Executive Director toured the facility inside and out.

Census:93

53 residents total in Memory Care

23 positive residents in Memory Care.

Entry: Entry signs were modified during the visit to include the date of the initial outbreak. Facility also posted signs for social distancing and masking requirement.

Screening: LPA was screened for symptoms of COVID-19 upon entry. The facility records temperature, symptoms, and proof of vaccination on the visitor sign-in sheets. Facility uses a standing digital thermometer to record temperature.

Laundry: Facility has 3 laundry areas. 1 is designated for positive COVID residents in memory care. Red zone indicated on designated laundry room. Assisted Living has separate laundry rooms.

Kitchen: All staff were observed wearing KN95 masks. Handwashing signs posted. Cutlery and utensils are all disposable.

Staff: Facility is fully staffed. Memory Care staff take breaks in cohorts separate from all other employees.

Elevators: Signs posted for maximum occupancy - 2 people.

SUPERVISOR'S NAME: Cassandra Harris	TELEPHONE: (818) 596-4342
LICENSING EVALUATOR NAME: Nicholas Reed	TELEPHONE: (818) 669-8178
LICENSING EVALUATOR SIGNATURE:	DATE: 08/04/2022

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/04/2022

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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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 21731 VENTURA BLVD., STE. 250
WOODLAND HILLS, CA 91364

FACILITY NAME: CANYON TRAILS AT TOPANGA SENIOR LIVING	FACILITY NUMBER: 197608998
	VISIT DATE: 08/04/2022

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Licensee has notified all POAs and family members of the outbreak. Licensee has worked with a consultant to adjust the facility’s COVID protocols.

Memory Care Unit: 2 residents were observed walking in the memory care hallways without a mask. Staff immediately redirected the residents. Bins with PPE placed outside of positive resident rooms. Sanitizer stored elsewhere due to residents with impulse control. When a positive case presents in a shared room, the roommate isolates with the positive case.

Public Health suggestions: Sign at front indicating current outbreak must include the date of initial outbreak (fixed during visit). All visitors must provide proof of a negative COVID test within the past 48 hours to enter. Full vaccination is insignificant during an outbreak as everyone can be a carrier. Fans should be set to ON always to circulate air. Stagnant air increases likelihood of transmission. Purple signs showing Novel Respiratory Precautions to be placed throughout the facility. Different color gowns suggested for infected and clean areas.

Facility purchased additional contactless trash cans with tight fitting lids during visit. Facility also placed purple signs for Novel Respiratory Precautions throughout.

During today's inspection, the facility is in compliance with Title 22 regulations. No citations issued.

Exit interview conducted. Copy of report provided.

SUPERVISOR'S NAME: Cassandra Harris	TELEPHONE: (818) 596-4342
LICENSING EVALUATOR NAME: Nicholas Reed	TELEPHONE: (818) 669-8178
LICENSING EVALUATOR SIGNATURE:	DATE: 08/04/2022

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/04/2022

LIC809 (FAS) - (06/04)

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