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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 342700050
Report Date: 03/22/2022
Date Signed: 03/22/2022 04:22:00 PM


Document Has Been Signed on 03/22/2022 04:22 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, 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:
03/22/2022
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
02:45 PM
MET WITH:Atanas Manev, Administrator and Stoyanka Maneva, Co-Administrator/caregiverTIME COMPLETED:
04:25 PM
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Licensing Program Analyst (LPA) Sabrina Calzada arrived unannounced to conduct a required annual inspection. LPA met with Atanas Manev, Administrator, and explained purpose of inspection. Prior to initiating today's inspection, LPA completed required COVID-19 testing protocols, confirmed 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 was screened per Covid-19 precautionary measures prior to entering the community. LPA ensured she applied hand sanitizer before entering the facility and the following Personal Protective Equipment (PPE) was worn: KN95 mask There are (5) residents at the facility and (3) residents are currently receiving hospice services. LPA observed Co-Administrator, Stoyanka Maneva, and caregiver, Donna Edwards, present during today's inspection.

LPA and, Administrators toured the interior and exterior of the facility to ensure the health and safety of residents in care. Areas toured include: common areas, (6) resident bedrooms, (2) resident restrooms, kitchen, dining room, (2) staff rooms, outside patio and shed. LPA and Administrator completed the infection control domain and facility was found to be in compliance at this time. Inside temperature was observed to be 77* F. Fire extinguishers (2) were last serviced 8/27/2021. LPA observed 2+day perishable and 7+ day non-perishable supply of food and (2) large containers of emergency food supply, bottled water and evacuation supplies. LPA observed Covid posters throughout and PPE supply to be sufficient for 30+ days. Required postings posted near front entrance and hand-washing signs are posted in each bathroom. LPA observed medications, toxins and sharps to be locked. Resident and staffing vaccination status was discussed as well as current requirements for weekly testing. LPA observed documentation of staff exemptions and weekly testing on file. Current visitor protocols also discussed per PIN 22-07. Copy of current liability insurance obtained during today's inspection.

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: 03/22/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 03/22/2022
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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