Facility Evaluation Report

Woodlands IV, Lafayette04/10/2025Licence 079201325

Capacity6
Census5
Date signed04/10/2025 02:04:01 PM
Name of licensing program analystDavid Doidge
Name of licensing program managerBennett Fong
The inspector’s account

On 04/10/2025 at 12:15 PM, Licensing Program Analysts (LPAs) David Doidge and Ardalan Gharachorloo arrived to conduct 1-Year Annual Required inspection. LPAs met with caregiver Rio Clark. and explained the purpose of the visit. The Administrator Administrator Tayyaba Chaudhry arrived at the facility at 01:10 PM.

During the visit, LPAs toured facility including but not limited to the kitchen, dining room, resident bedrooms and bathrooms, front and back area of the facility, and common areas. Fire extinguisher was observed full and last inspected on 11/26/2024. Smoke detectors and carbon monoxide detectors were tested and observed functional. LPAs observed the facility to be at 65 degrees Fahrenheit. All indoor and outdoor passageways are kept free of obstruction. Hot water temperature was measured at 109 degrees Fahrenheit. LPAs observed skid mats and grab bars in resident bathrooms. LPAs observed sufficient furniture and lighting throughout the facility. There are no bodies of water present in or around the facility. LPAs observed a sufficient supply of 7 day non-perishables and two day perishable food supplies.

LPA reviewed six (5) resident files and five (4) staff files; all were complete. The last fire and earthquake drills were conducted on 12/10/2024. Centrally stored medications were observed locked in a cabinet. First aid kit was observed to be complete .

No deficiencies were cited during this inspection.

Exit interview conducted and a copy of this report provided.

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