Senior Care Records.

Facility Evaluation Report

Nelson Home, Oroville11/19/2022Licence 045002504

Capacity6
Census5
Date signed11/20/2022 09:35:12 PM
The inspector’s account

On November 19, 2022, Licensing Program Analyst (LPA) DeAnna Williams-Lyons arrived unannounced to conduct an 1 year required annual Inspection. LPA met with Steve Connor Licensee, and explained the reason for the visit.

Prior to 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 licensee 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: Masks.

Steven and LPA completed the Covid infectious control questionnaire with no advisories.

LPA and Steven toured the home. All rooms have the required furniture. The bathrooms clean. LPA observed an adequate amount of linens and found the first aid kit to be complete. The water temperature was tested and measured 115 degrees F. There are no bodies of water on the premises. The administrator's certificate was valid expiring on 9/3/2024.

Per California Code of Regulation, Title 22, No violations was observed. No citations were issued.

The administrator shall submit updated copies of the LIC 500 Personnel Report, LIC 308 Designation of Administrative Responsibility, LIC 610D the Emergency Disaster Plan, and copy of current Liability Insurance to update the facility file. Administrator shall submit the listed documents to Licensing no later than December 19, 2022.

An exit interview was conducted and a copy of this report was given to Steven.

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