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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 455002049
Report Date: 01/03/2022
Date Signed: 01/03/2022 11:48:46 AM

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:VISTAS ASSISTED LIVING & MEMORY CARE, THEFACILITY NUMBER:
455002049
ADMINISTRATOR:ROBINSON, IZABELA EFACILITY TYPE:
740
ADDRESS:3030 HERITAGETOWN DRIVETELEPHONE:
(530) 222-8969
CITY:REDDINGSTATE: CAZIP CODE:
96002
CAPACITY:100CENSUS: 79DATE:
01/03/2022
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME BEGAN:
10:45 AM
MET WITH:Izabella Robinson - adminstratorTIME COMPLETED:
12:00 PM
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01/02/2021 10:45 AM Licensing Program Analysts (LPA) Rebecca Knight arrived at the facility unannounced to conduct a Required-1 Year Inspection utilizing the infection control domain. LPA met with adminstrator Izabella Robinson and Debra Wyman LVN and explained the purpose of the visit. Prior to initiating the annual inspection, LPA completed required COVID-19 testing protocols, and a daily self-screening questionnaire for symptoms of COVID-19 infection to affirm no COVID-19 related symptoms. In addition LPA was screened by the administrator. LPA ensured they applied hand sanitizer before entering the facility and the following Personal Protective Equipment (PPE) was worn: N95 Mask, gloves

LPA Knight Ms. Robinson and Ms. Wyman toured facility together to ensure health and safety of residents in care. Areas toured include but are not limited to: common areas, laundry room, common (2) bathrooms, dining room, storage areas, and outside visitor area. In the areas toured no immediate health, safety, or personal rights violations were observed. LPAs Knight and the administrator and LVN completed the infection control domain and facility was found to be in substantial compliance at this time.

No deficiencies are being cited as a result of todays inspection. Technical assistance was provided.

Exit interview conducted and copy of report was emailed to administrator Izabella Robinson.
SUPERVISOR'S NAME: Rayna L BrysonTELEPHONE: (530) 895-5991
LICENSING EVALUATOR NAME: Rebecca KnightTELEPHONE: (530) 895-4356
LICENSING EVALUATOR SIGNATURE:

DATE: 01/03/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/03/2022
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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