Facility Evaluation Report
On 8/5/22 at 12:20 PM, Licensing Program Analyst (LPA) Malia Thao arrived unannounced to conduct an Annual inspection. LPA explained reason for inspection and was granted entry by staff. Licensee Helen Houck arrived a short time later. COVID-19 precautions are in place.
LPA toured inside and outside of the facility, and did not observe any obstructions. No fire issues observed. Hand sanitizer was readily available to residents and visitors. Social distancing is maintained in the common and dining areas. Hand washing posters were observed by the bathroom sinks. Bedrooms were checked and residents do not share bedrooms. LPA checked residents’ medications. Food supply was observed in adequate supply. Cleaning and PPE supplies were checked. Resident files have updated emergency contact information. Administrator certificate is valid.
No deficiencies cited during this inspection.
The following updated forms to be sent to CCL within 2 weeks:
-LIC500, LIC400, LIC402, LIC610D (new revision)
Exit interview conducted. A copy of this report was given to Licensee Helen Houck, whose signature confirms receipt of this report.
Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction