Senior Care Records.

Facility Evaluation Report

Ferris Home, Clearlake09/15/2022Licence 176800965

Capacity5
Census2
Date signed09/15/2022 04:44:27 PM
The inspector’s account

Licensing Program Analyst (LPA) Hansen conducted an unannounced case management inspection and met with Jennifer Fitts, Administrator. The purpose of this case management inspection is to follow up on a self reported incident reprot submitted to Community Care Licensing (CCL) 8/16/2022 that was first attempted on 8/29/2022.

CCL received a self reported incident reporting on 8/14/2022 at 6:45 PM client (C1) left facility, had an in counter with local law enforcement, and was hospitalized. C1 was admitted to hospital. Facility expressed C1 does not want to return to facility.

LPA observed a trailer parked on the driveway of the front entrance of facility full of garbage. The container is full of used carpet topped with garbage bags. LPA consulted and advised facility, trailer and contents will need to be removed. Failure to remove trailer and contents may result in future citations.

LPA issued a technical advisory during this visit, no citations issued at this time.

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