Senior Care Records.

Facility Evaluation Report

Summerfield Homes IV, Antioch04/26/2023Licence 079200120

Capacity6
Census4
Date signed04/26/2023 02:51:46 PM
The inspector’s account

On 04/26/23 at 1:50PM, Licensing Program Analyst (LPA) Daisy Panliliot arrived unannounced to conduct an Annual Required Inspection. LPA explained the purpose of the visit with administrator.

LPA inspected the facility including, but not limited to, living room, kitchen, dining area, bathrooms, bedrooms, laundry area and outside areas. Screening station was observed near the front entrance with visitors logs, no touch temperature probe, hand sanitizer and additional masks. There were no bodies of water present. The facility has six (6) bedrooms and three (3) bathrooms. Two bedrooms and one bathroom are designated for staff use only. 2 day perishable and 7 day non perishable food supplies available. Facility maintained at 70 degrees, F. Hot water temperature in a client's bathroom measured at 108 deg F. Fire extinguisher was observed fully charged and last inspected 08/19/22, first aid kit complete, flashlights, smoke/carbon monoxide detectors operational. Emergency Disaster Plan dated 01/05/2022 posted near the kitchen. required posters centrally posted. Exits and passageways were observed free of obstruction. Fire and Earthquake Disaster drills conducted monthly. The infection control leader is the administrator.

LPA reviewed client/staff files, P&I monies, medication and medication logs.

There were no deficiencies cited during inspection.

Exit interview conducted and a copy of this report provided.

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