Follow-up·August 20, 2021

On 8/20/21 at 12 PM, Licensing Program Analyst (LPA) Cheng conducted an unannounced Health and Safety visit and met with Administrator Angie Karris. Prior to initiating the visit, LPA completed required COVID-19 testing protocols, and a daily self-screening questionnaire for symptoms of COVID-19 infection to affirm no COVID-19 related symptoms; contacted Administrator and completed a facility risk assessment. LPA ensured they applied hand sanitizer before entering the facility and the following Personal Protective Equipment (PPE) was worn: surgical mask and gloves. Additionally, LPA was screened by staff. The purpose of LPA's visit today was to conduct a Health and Safety check on six clients who was relocated from Alpine House due to an evacuation order issued by Trinity County. LPA toured the facility inside and out including but not limited to facility activity area, hallways, both wings of the facility, dining area, and medication room. Alpine client's medications are centrally stored in a separate locked container from Willow Glen's client medications. All of Alpine client's Medication Administration Record and Centrally Stored Medication Log is kept separate from Willow Glen's client records. Facility is following their COVID-19 procedures and have an isolation plan in place should any individual become positive. Facility has sufficient supply of food, toilet paper,and other necessities. Licensee of Willow Glen Care Center is also the Licensee of Alpine House. No deficiencies or concerns noted. Exit interview conducted and a copy of the report was given.