Routine inspection·December 15, 2022

Licensing Program Analyst (LPA), Farhaan Sarangi arrived unannounced at Vista Home for the purpose of conducting a Required 1 year Inspection. LPA was greeted at the door by, Lead Staff Member, Lourdes Soller and was granted access into the facility. LPA and Lead Staff Member toured the facility. Facility is a one story residence with four single client bedrooms, two bathrooms and common areas. All client rooms are furnished per regulation with a bed, lamp, dresser, chair and bedside table. Bathroom shower has non-skid shower floor and grab bars. Fire Extinguisher was last serviced on November 2022. Living room fireplace is adequately screened and will not be used. Water temperature is within regulation of 105 & 120 degrees F. Facility has sufficient items used for cooking and eating. LPA observed extra linens located in the closet. Facility has a locked cabinet in the hallway used for centrally stored medications and files. Cleaning supplies and toxins will be locked in a cabinet in the garage. Hazardous items were inaccessible to residents in care. Perishable and non-perishable foods observed per regulation. First Aid kit was inspected and found to be appropriate during the inspection. Carbon Monoxide detector and Smoke Detectors were inspected, tested and found to be operational during the inspection. Bathrooms contained necessary grab bars and non-slip floors. There was a supply of cleaners, hygiene products and paper products available for residents. 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 around the facility. 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 LIC 610 (Emergency Disaster Plan) Surety Bond Most up-to-date Liability insurance Control of Property Register of Residents No deficiencies were observed or cited during the Required 1 year inspection. Exit interview was conducted and a copy of this report was emailed to the Administrator.