Facility Evaluation Report

Blossoms Care Home, Hercules10/23/2024Licence 079201427

Capacity6
Census0
Date signed10/23/2024 02:54:51 PM
The inspector’s account

On 10/23/2024 at 1:00pm, Licensing Program Analyst (LPA) Carol Fowler conducted an announced pre-licensing. LPA met with Diana Cheung, Administrator, and explained the purpose of the visit. The facility has an approved fire safety clearance for four (4) ambulatory clients and two (2) non-ambulatory clients.

LPA inspected the facility inside and out including but not limited to the bedrooms, bathrooms, common living areas, kitchen, garage, back yard. The facility has a three (3) bedrooms downstairs and three (3) bedrooms upstairs which one will be occupied by staff and one by Administrator and a total of three (3) bathrooms. No bodies of water observed. There is sufficient lighting around the facility. Clients rooms are equipped with the proper furniture, bedding, and lighting. Locked cabinets available to store medications, toxins and sharps. Hot water temperature is measured at 120.6 degrees Fahrenheit in shared clients' bathroom. Carbon monoxide and smoke detectors present and operable. Facility inspection matches the sketch that was provided.

Facility needs to correct the following by 11/11/2024:

· Purchase window covering for bedroom 3.

· Remove items bedframe, 2 ladders, shovel, rake from the unlocked garage.

· Remove 2 large logs located in the front yard.

· Remove the ladder on the side of the storage unit.

· Enlarge complaint poster (see something say something) to 20" X 26".

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