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<br /> <br />Community Advisory Committee <br />Quarterly/Annual Visitation Report <br />County: Orange Facility Type: <br /> Family Care Home <br /> Adult Care Home <br />X Nursing Home <br />Facility Name: Signature <br /> <br /> <br />Census – current/licensed: 75/108 <br />Visit date and day of the <br />week: <br />July 18, 2017 (Tuesday) <br />Time spent in facility: <br />1 hours 30 minutes <br />Arrival time: 11AM <br />Name of person(s) with whom exit interview was held: <br /> <br />Lee Cole and the new Director of Nursing <br />Interview was held: in person <br />Committee members present: <br />Jacqulyn (Jackie) Podger, Karen Macklin, Vibeke Talley <br /> <br />Number of residents who received personal visits from committee members: <br />12 <br /> Report completed by: Jackie Podger <br />Resident Rights information is clearly posted? Yes Ombudsman contact information is correct and clearly posted: <br />Yes <br />The most recent survey was readily accessible: Yes <br />(Required for NHs only – record date of most recent <br />survey posted): 6/12/2017- 6/14/2017 <br />Staffing information clearly posted? Yes <br /> <br /> <br /> <br /> <br />Resident Profile Yes <br />No <br />N/A <br />Comments/Other Observations (please <br />number comments) <br />1. Do the residents appear neat, clean and odor free? Yes <br />2.Did residents say they receive assistance with personal care <br />activities? (i.e. brushing their teeth, combing their hair, inserting <br />dentures or cleaning their eyeglasses) <br /> Yes <br />3. Did you see or hear residents being encouraged participate in <br />their care by staff members? N/A <br />4.Were residents interacting with staff, other residents & visitors? Yes <br />5.Did staff respond to or interact with residents who had difficulty <br />communicating or making their needs known verbally? Yes <br />6. Did you observe restraints in use? No