Senior Care Records.

Facility Evaluation Report

Minnesota Homes Residential Facility, Brentwood03/23/2023Licence 079200949

Capacity6
Census3
Date signed03/23/2023 03:36:04 PM
The inspector’s account

On this day 03/23/2023 at around 10:15AM, Licensing Program Analyst (LPA) L. Ibo arrived at the facility to conduct annual required inspection. LPA was met by caregiver S2. Administrator Christopher Abel arrived at around 10:30AM.

LPA inspected the facility inside and out including but not limited to bedrooms, bathrooms, kitchen, garage dining and living areas. The facility has 4 bedrooms and 3 bathrooms. One bedroom is designated as staff room. There are 3 clients observed. Facility has an approved fire clearance for 6 ambulatory clients. Two fire extinguishers that was bought on June 22, 2022.

Facility has sufficient supply of perishable and non-perishable foods. There are 2 staff working during the visit and both are fingerprint cleared. Bathrooms were observed with grab bars and nonskid mats.

LPA reviewed 3 clients and 3 staff files and interviewed 3 clients and 3 staff. Facility has wired carbon monoxide and smoke detector that were observed functional. Facility has a current liability insurance.

At approximately 10:23AM, LPA observed disinfectants unlocked under the sink.

Deficiencies are being cited today in violation of California Code of Regulations and follows on 809D. Failure to submit proof of corrections (POC's) along with LIC9098 by plan of correction due dates may result in civil penalty.

Exit interview was conducted with Administrator and Appeal Rights was provided.

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