Senior Care Records.

Facility Evaluation Report

Newport Institute-fernwood, Shingle Springs10/28/2024Licence 095002903

Capacity6
Census6
Date signed10/28/2024 11:17:08 AM
The inspector’s account

On 10/28/24, Licensing Program Analyst (LPA) Lavinia Muscan arrived unannounced to conduct a required annual inspection. LPA met with Residential Supervisor Sara Koerlin and explained purpose of inspection.

During today's annual inspection, the Compliance and Regulatory Enforcement Tool was used. LPA reviewed resident (3) and staff files (2). All resident files contained the required paperwork. All staff files contained the required paperwork. All staff have current first aid and CPR training. Facility was clean and well organized. Facility is current on fire drills.

LPA and staff toured the interior and exterior of the facility including the common areas, client bedrooms, bathrooms, kitchen, staff room/office and laundry area. Fire extinguisher ready for emergency use. Disaster drills current. The facility has a large back yard area with seating. There are is a pool at the facility which was found to be secured and locked during visit. LPA observed locked toxins in the laundry area and locked medications in a separate room. LPA observed sufficient 2+day perishable/7+day non-perishable food. Smoke/monoxide alarms were in working order. Games/activities observed on site.

LPA requested a copy of the LIC500, LIC610E and current liability insurance to be sent to the Department.

No deficiencies were observed or cited today. Exit interview conducted.

A copy of this report was printed and given to Residential Supervisor Sara Koerlin.

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