Routine inspection·November 6, 2024

Licensing Program Analysts (LPAs) Kimberly Lyman and William Vanegas conducted an unannounced visit to Willow View Gardens. The purpose of today’s visit was to conduct the annual required inspection. LPAs were allowed entry into the facility and explained the reason for the visit.. Facility is licensed for 130 non-ambulatory residents of which 50 may be bedridden.. Facility has an approved hospice waiver for 50 residents and the facility has 59 residents in assisted living and 19 in memory care. There are 10 residents on hospice. Administrator Alma Espinal has an administrator certificate expiring on 04/01/2026. LPAs Lyman and Vanegas along with Administrator toured the facility at 8:48 AM. LPAs toured the physical plant, checked food service, and the first aid kit. The facility consists of two stories including a library, bistro, cinema room and hair salon.. Resident bedrooms had the required furniture, bed linens and closet/drawer space to accommodate each resident comfortably. At 9:15 AM, LPAs observed unsecured medications and supplements in Resident 6's apartment. Resident bathrooms were checked. Toilets and water faucets worked properly, grab bars were secure and shower was free of mold/mildew. Water temperature measured between 105.4 degrees F and 108.3 degrees F in all restrooms. Resident bath towels, toiletries and personal hygiene supplies were adequately stocked. LPAs toured the main level medication room and observed medications are unsecured and accessible to residents in care. Common areas were clean and clear of hazards, doorways were free of obstructions. Perishable and non-perishable food supply was checked and adequately stocked at time of visit. Kitchen appliances are operational during today's visit. Toxins are secured in a closet. Smoke detectors and carbon monoxide detectors are tested in-house bi-monthly and fire/ sprinkler inspections are conducted by a third party, Hilltop Alarms. Fire extinguishers were fully charged. LPAs reviewed the infection control plan and emergency disaster plans and plans are complete. Facility conducts monthly emergency drills with the last drill conducted on 10/14/2024. LPAs observed ample emergency food and water. Outside grounds were toured. LPAs observed multiple outside patio areas including a smoking area. There is ample outdoor shaded seating for residents.. Walkways around the facility were clear of hazards. There are no security bars or weapons on the premises. continued ON LIC 809C DATED 11/06/2024 First aid kit contained all required items including tweezers, scissors and thermometer.Facility provides activities in the form of music, art and puzzles. LPAs reviewed eight resident files and six staff files. All resident files contained required documentation including admission agreements, physician reports, resident appraisals, and physician orders for bed rails as indicated. Staff files reviewed contained required documentation including required annual training, medical assessment, criminal record clearance and proof of CPR training. At 1:15 PM, LPAs observed three out of three staff do not have proof of TB testing in the file. At 3:00 PM, LPAs reviewed medication storage and administration. LPAs observed four out seven medications reviewed are not being administered per physician order or are lacking documentation. Medications are stored in locked medication carts, Based on the observations made during today’s visit, deficiencies are being cited per Title 22 Division 6 the California Code of Regulations. This report was discussed with the facility representative and a copy was provided as well as appeal rights.