Facility Evaluation Report

Windsor Residence, LLC, Antioch10/25/2023Licence 079200915

Capacity6
Census3
Date signed10/25/2023 02:48:49 PM
The inspector’s account

On 10/25/2023 at 1:50pm, Licensing Program Analyst (LPA) L. Hall arrived unannounced to conduct proof of correction (POC) visit. LPA met with Javier Arriaga, Caregiver, and explained the purpose of the visit. LPA spoke with Administrator, Alfredo Limjoco via telephone.

LPA conducted a case management visit on 10/06/2023 and cited facility for the following:

80070(b) Client records - LPA observed client records have not been updated and one (1) client file was not available to review. LPA was advised that facility does not handle P & I.

80075(f) Health related services - LPA observed staff have not been first aid certified.

80066(a) Staff records - LPA was not able to review staff records because none was available at the facility.

85076(d)(1) Food service - LPA observed facility did not have a 7-day supply of non-perishable or 2-day of perishable food available for clients.

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