Senior Care Records.

Facility Evaluation Report

Jackson House, Oakland01/08/2025Licence 011440656

Capacity6
Census4
Date signed01/08/2025 04:33:56 PM
The inspector’s account

On 1/08/2025 at 2:20 p.m., Licensing Program Analyst (LPA) Greg Clark arrived unannounced to conduct 1-Year Annual Required inspection. LPA met with House Manager, Alan Knowles and explained the purpose of the visit.

LPA toured the facility including but not limited to bedrooms, bathrooms, kitchen, common area and backyard. All outdoor and indoor passageways are kept free of obstruction. There are no bodies of water. A comfortable temperature for clients is maintained at 70-degree Fahrenheit. LPA observed lighting in all rooms are adequate for the comfort and safety of the clients. Hot water temperature in the shared clients’ bathroom was measured at 113 degrees Fahrenheit. All toilets, hand washing, and bathing are safe, sanitary and in operating condition. The supply of extra hygiene was available for clients. There is a minimum of one-week supply of non-perishables and 2-day perishables food supply.

Smoke detectors and carbon monoxide were in operating condition during visit. Fire extinguisher was last serviced on 11/27/24. First aid kit was observed to be complete. Fire drill was last conducted on 12/20/1924.

LPA reviewed 4 clients’ records and 4 staff records, and all were complete. A sample of 2 client’s medications were reviewed.

Updated copies of the following documents were requested for facility file and are to be submitted to CCL by 1/15/24: LIC 610D Emergency Disaster Plan

No deficiencies were cited during this inspection. Exit interview conducted and a copy of this report provided.

Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction