Routine inspection·March 23, 2022

Licensing Program Analyst (LPA), Farhaan Sarangi arrived at Assisted Living of Napa Valley-Hamilton unannounced for the purpose of conducting a Required-1 year inspection. LPA was granted access into the facility by Care Giver, Renie Ragojos. During the initial entry at the facility at 09:30 AM, LPA observed this particular Care Giver not wearing a Facial Covering (See LIC 809D) . Administrator, Christine Arnke arrived 20 minutes later. LPA toured the facility with the Administrator, LPA observed the facility to be clean and in good repair. LPA observed all walkways and exits to be unobstructed. There was a sufficient supply of both perishable and nonperishable foods as required by Title 22 Regulations. Food stored in the kitchen refrigerator were properly stored as per regulations at the time of the visit. Menus are available. There are special provisions made for individuals with special dietary needs. There was a supply of cleaners, hygiene products and paper products available for residents. All bathrooms designated for residents in the common areas at the facility were supplied with individual paper towels and hand soap dispensers. Bathrooms in resident’s rooms have a towel and soap. Water temperature measured within regulation between 105 and 120 degrees F at faucets accessible to residents. Fire extinguishers were inspected on 11/2021. First Aid kit was appropriate at the time of the inspection. Smoke detectors were tested and found to be in working order. Carbon Monoxide detectors were present and found to be operational during the inspection. Fire Alarm Pull system is in place. Medication is centrally stored and secured. The facility serves residents with dementia and has a plan of operation for care and programming. Facility understands that all beds should be outfitted with mattress pads as per Title 22 Regulations # 87307. (Report continued on LIC 809C) LPA advised facility to contact County Public Health and Community Care Licensing immediately if symptoms or COVID-19 + in the facility. Disaster Drill last conducted on February 20, 2022. Facility has PPE supply stored in storage room. Facility was N95 Fit tested on January 2022 by Napa County Public Health. LPA requested the following documents be sent to CCL: LIC 308 Designated Facility Responsibility LIC 500 Personnel Summary LIC 610 Emergency Disaster Plan LIC 610E-S Supplemental Emergency Disaster Plan for RCFE LIC 9020 Register of Facility Client’s/Resident’s Copy of Administrator Certificate(s) Copy of Certificate of Liability Insurance The following deficiencies were observed (see LIC 809D) and cited from the California Code of Regulations, Title 22, Division 6 of California Regulation. Failure to correct the deficiency and/or repeat deficiencies within a 12-month period may result in civil penalties. Exit interview conducted and appeal of rights were provided. Administrator requested a copy sent via email as well.