Senior Care Records.

Facility Evaluation Report

Sans Souci, Walnut Creek02/14/2023Licence 075601574

Capacity6
Census5
Date signed02/14/2023 12:04:45 PM
The inspector’s account

On 02/14/2023 at 10:35 AM, Licensing Program Analyst (LPA) James Sampair began an unannounced required annual inspection. LPA explained the purpose of the visit to staff and Administrator (ADM) Katherine Grutas. LPA inspected facility inside and out and updated the ADM when she arrived.

The facility has an infection mitigation plan in place, and the Infection Preventionist is the ADM. Staff were following the latest COVID-19 infection control guidance.

There were at least 7 days of nonperishable and 2 days of perishable foods. Hot water and facility room temperatures maintained at comfortable temperatures. Fire extinguisher was fully charged and serviced within the past year. Carbon monoxide and smoke detectors operational. Administrator is on site a minimum of 20 hours a week to oversee proper business operation.

Administrator to send updated copies of these documents to CCL on or before 02/21/2023:

LIC308 - Designation of Financial Responsibility

Evidence of sufficient Liability Insurance

Exit interview conducted and a copy of this report provided via email.

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