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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 565802421
Report Date: 06/21/2022
Date Signed: 06/21/2022 12:41:34 PM


Document Has Been Signed on 06/21/2022 12:41 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. #250
WOODLAND HILLS, CA 91364



FACILITY NAME:PARK VISTA SENIOR LIVING 1-4FACILITY NUMBER:
565802421
ADMINISTRATOR:CHRISTOPHER ROMOFACILITY TYPE:
740
ADDRESS:380 ARCTURUS STREETTELEPHONE:
(805) 492-2000
CITY:THOUSAND OAKSSTATE: CAZIP CODE:
91360
CAPACITY:6CENSUS: 6DATE:
06/21/2022
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
11:50 AM
MET WITH:Sherry NazariTIME COMPLETED:
12:45 PM
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Licensing Program Analyst (LPA) Ashley Smith arrived unannounced to conduct a required annual visit. This annual had a specific emphasis on infection control practices. The LPA met with Administrator Sherry Nazari and explained the reason for the visit. The LPA toured the physical plant to ensure there are no health and safety hazards and facility is in compliance with Title 22 Regulations.

KITCHEN: Knives and chemicals are locked inaccessible. Kitchen appliances were in operable condition. The facility has a sufficient supply of perishable and non-perishable food. BEDROOMS: Six out of seven rooms are for resident use; the 7th room is designated as an office. Bedrooms had appropriate furnishings, clean linens and lighting. RESTROOMS: Restrooms were clean and sanitary with grab bars and non-skid surfaces. At 11:10 a.m., water temperature measured at 105.4 degrees Fahrenheit. The Administrator was reminded to post hand hygiene signs in resident restrooms. COMMON SPACES: The facility maintained a temperature of 76 degrees. Living room and dining furniture were observed to be in good condition. The fireplace is covered and inaccessible. Exits have functioning auditory devices. Required postings were observed in the kitchen, living room, and entry door. The backyard and exterior area had furniture and a covered area for resident use. The garage has additional locked cleaning supplies. No bodies of water noted.

Infection Control: During today’s visit, the LPA spoke with the Administrator regarding the facility’s infection control practices. There is a centralized location with COVID-19 signs that promoted hand hygiene, physical distancing, and cough/sneeze etiquette. There is sanitizer available for use throughout the facility. There is an adequate supply of Personal Protection Equipment (PPE). The facility’s cleaning protocol is sufficient. This facility has records of staff and resident vaccinations. The facility can designate a single-person room to isolate persons if there is a confirmed case of COVID-19 Staff are up to date regarding guidelines around visitation and vaccine requirements. The Administrator is working on the Infection Control plan and will submit it to CCL by the due date. The policies and procedures pertaining to infection control were adequate.

No deficiencies observed at this time. Exit interview conducted. A copy of the report was issued.

SUPERVISOR'S NAME: Jeralyn Ann PfannenstielTELEPHONE: (818) 596-4343
LICENSING EVALUATOR NAME: Ashley SmithTELEPHONE: (818) 421-9032
LICENSING EVALUATOR SIGNATURE:
DATE: 06/21/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 06/21/2022
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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