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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 342700050
Report Date: 08/27/2021
Date Signed: 08/27/2021 12:00:48 PM

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 520 COHASSET RD., STE. 170
CHICO, CA 95926
FACILITY NAME:OAKS AT GARFIELD, THEFACILITY NUMBER:
342700050
ADMINISTRATOR:MANEV, ATANAS MFACILITY TYPE:
740
ADDRESS:3500 GARFIELD AVETELEPHONE:
(916) 342-9695
CITY:CARMICHAELSTATE: CAZIP CODE:
95608
CAPACITY:6CENSUS: 5DATE:
08/27/2021
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
10:35 AM
MET WITH:Atanas Manev, Administrator TIME COMPLETED:
12:00 PM
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Licensing Program Analysts (LPA) Sabrina Calzada and Michael Hood arrived unannounced to conduct a required annual inspection. LPA's met with Atanas Manev, Administrator,, and explained purpose of inspection. Prior to initiating today's inspection, LPA's completed required COVID-19 testing protocols, contacted the facility to confirm there are currently no positive Covid-19 diagnoses, completed a daily self-screening questionnaire for symptoms of COVID-19 infection to affirm no COVID-19 related symptoms Additionally, LPA's were screened per Covid-19 precautionary measures upon entering the community. LPA's ensured they applied hand sanitizer before entering the facility and the following Personal Protective Equipment (PPE) was worn: double surgical mask and N95 mask There are (5) residents at the facility and (3) residents are currently receiving hospice services.

LPA observed (2) residents to be sitting in the dining room. LPA's observed that (4) residents were napping or in their rooms during the inspection. LPA's and Administrator toured facility together to ensure health and safety of residents in care. Areas toured include but are not limited to: common areas, (6) resident bedrooms, (2) resident restrooms, kitchen, dining room, (2) staff rooms and outside shed. LPA's and Administrator completed the infection control domain and facility was found to be in compliance at this time. Inside temperature was observed to be 78* F. Alarm door motion sensors were tested and also work throughout facility. LPA's observed Covid posters throughout. PPE supply observed and is sufficient for 30+ days.

Resident and staffing vaccinations discussed as well as current requirements for weekly testing.

There were no deficiencies cited as a result of todays inspection.

Exit interview conducted with Administrator, and copy of report left at the facility.



SUPERVISOR'S NAME: Maribeth SentyTELEPHONE: (916) 263-4813
LICENSING EVALUATOR NAME: Sabrina CalzadaTELEPHONE: (510) 829-2133
LICENSING EVALUATOR SIGNATURE:

DATE: 08/27/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/27/2021
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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