Senior Care Records.

Facility Evaluation Report

Elisabeth Care Home, Pleasant Hill09/11/2023Licence 079200380

Capacity4
Census3
Date signed09/11/2023 02:53:54 PM
The inspector’s account

On 09/11/2023 Licensing Program Analyst (LPA) L. Alexander arrived unannounced to conduct a Case Management visit. LPA met with Co-Administrator/Caregiver, Magdala D'Autruche, and explained the purpose of the visit.

Back on 06/27/2023 during 1-Year Annual Required Inspection , LPA L. Alexander requested updated facility documents to be submitted by 07/04/2023. Administrator, Obed D'Autruche , failed to submit documents by requested due date. During phone call and interview LPA observed that the Administrator does not have current Liability Insurance.

The deficiencies were observed (see LIC809D) and cited from the California Code of Regulation, Title 22. Failure to correct the deficiencies may result in civil penalties.

Exit interview conducted. A copy of this report and appeal rights provided

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