Routine inspection·December 15, 2022

Licensing Program Analyst (LPA), Farhaan Sarangi arrived unannounced at Village at Rancho Solano Assisted Living, The for the purpose of conducting a Required 1 year inspection. LPA was greeted at the door by Administrator, Ramandeep Kaur, and was granted access into the facility. LPA and Administrator toured the facility and found the facility to be clean and at comfortable temperature. Exits and pathways were free from obstructions. Fire extinguisher were last serviced on October 2022. Facility is currently on a Fire Watch plan due to the Fire Alarm system not working with the expected replacement in Mid-January. Fire Watch is in place and was approved by Fairfield Fire Department on December 14, 2022. Hot water temperature measured within regulation of 105 to 120 degrees F. Bathrooms contained necessary grab bars and non-slip floors. During the tour, LPA observed residents being served meals. Food was found to be stored in a safe manner and appropriately labeled. Kitchen staff are aware of resident dietary restrictions. LPA toured the Memory Care Unit. Medications were centrally stored and locked. Toxins are stored in the garage. Hazardous items were also kept inaccessible and locked. There was a supply of cleaners, hygiene products and paper products available for residents. First aid kit was found to be appropriate at the time of the inspection. Elevator were last inspected on August 9, 2019 with an expiration bearing August 9, 2020 (See LIC 809D). Administrator shared that the elevators should be inspected every single year, but was not inspected last year. Facility understands that resident’s beds must be outfitted with mattress pads as required by Title 22 Regulations # 87307. LPA advised facility to contact County Public Health and Community Care Licensing immediately if symptoms or COVID-19 + in the facility. Facility has PPE supply stored on the outside of the 2nd floor Memory Care section of the facility in the storage room. Staff have had all PPE training required and have been N95 Fit tested, but not recertified. LPA requested the following documents to be sent to CCL: (Report continued on LIC 809C) LIC 500- Personnel Report LIC 308- Designation of Responsibility LIC 309- Administrative Organization LIC 400- Affidavit regarding Client Cash Resources Updated facility sketch Carbon Monoxide Detector testing date document(s) Surety Bond Most up-to-date Liability insurance Control of Property Register of Residents LPA already obtained a copy of the LIC 610E (Emergency Disaster Plan) and Fire Watch Plan on December 14, 2022. Deficiencies are cited from the California Code of Regulations (CCRs), Title 22, Division 6, Chapter 8 and the Health and Safety Code. Failure to correct the deficiency and/or repeated deficiencies within a 12 month period may result in civil penalties. Exit interview was conducted with the Administrator and appeal rights was emailed along with this report.