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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 331881057
Report Date: 07/11/2022
Date Signed: 07/11/2022 03:09:47 PM

Document Has Been Signed on 07/11/2022 03:09 PM - It Cannot Be Edited

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1650 SPRUCE ST STE 200 MS29-27
RIVERSIDE, CA 92507
FACILITY NAME:VIEWMONT ACRESFACILITY NUMBER:
331881057
ADMINISTRATOR:O'REILLY, DENISEFACILITY TYPE:
740
ADDRESS:29290 VALLEJO AVETELEPHONE:
(951) 506-8206
CITY:TEMECULASTATE: CAZIP CODE:
92592
CAPACITY: 6CENSUS: 0DATE:
07/11/2022
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
02:07 PM
MET WITH:Denise O'Reilly, Administrator
Michael O'Reilly, Director		TIME COMPLETED:
03:15 PM
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Licensing Program Analyst (LPA), Chinwe Nwogene made an unannounced visit to the facility to conduct an annual inspection focused on infection control. LPA was greeted and granted entry by Administrator, Denise O'Reilly who was informed of the purpose of the visit. At the time of visit there was 1 staff and 0 residents present.

During today's visit, LPA’s toured the facility inside and out with Denise and made observations regarding the infection control measures that the facility has implemented. LPA observed Covid-19 postings posted throughout the facility. The facility has an adequate amount of hand hygiene supplies (soap, and hand sanitizer) in all restrooms. LPA observe an adequately secured pool within the premises. LPA was informed that no weapons or ammunition is maintained at the home. Denise was informed of the annual fees due. Denise agreed to pay annual fees by check tomorrow 7/12/2022.

The facility has a plan in place to monitor residents regularly for any changes in condition, which includes daily temperature checks. The Facility will contact the resident's physician should there be any event of COVID-19 related illnesses. The facility has a designated infection control lead. The facility also cleans and disinfects the highly touched surfaces during each shift, and as needed. LPA observed PPE supplies. No deficiencies noted at the time of visit.

An exit interview was conducted, and a copy of this report was reviewed and provided to Denisa O'Reilly

SUPERVISORS NAME: Deborah Mullen
LICENSING EVALUATOR NAME: Chinwe Nwogene
LICENSING EVALUATOR SIGNATURE: DATE: 07/11/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 07/11/2022
This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)
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