Senior Care Records.

Facility Evaluation Report

Adult Pacific Care INC, Antioch04/20/2023Licence 079200876

Capacity6
Census4
Date signed04/20/2023 02:58:40 PM
The inspector’s account

On 4/20/2023 at 12:40PM, Licensing Program Analysts (LPAs) L. Hall and L. Alexander conducted an unannounced annual 1-year required inspection. LPAs met with Claudia Meza. Direct Support Professional (DSP), and explained the purpose of the visit. Administrator Loida Gavilan, arrived at 12:53PM. LPA toured the facility with Administrator. The administrator currently holds a certificate (#6042357735) that expires on 10/24/2024. The facility’s fire clearance was approved for six (6) ambulatory clients.

LPA toured the facility including but not limited to bedrooms, bathrooms, kitchen, common area and back yard. The facility consists of four (4) total bedrooms and two (2 ) bathrooms. All indoor passageways are kept free of obstruction. There are no bodies of water. A comfortable temperature for clients is maintained at 71 degrees 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 105.5 degrees Fahrenheit. All toilets, hand washing, and bathing are safe, sanitary and in operating condition. Hand washing poster, paper towel, and soap observed at all hand washing stations. The supply of extra hygiene was available for residents. PPE and paper goods are sufficient. There is a minimum of 7-day non-perishables and 2-day perishables foods.

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