Senior Care Records.

Facility Evaluation Report

Clover Valley Guest Home, Upper Lake09/15/2022Licence 170107747

Capacity6
Census4
Date signed09/15/2022 10:11:04 AM
The inspector’s account

Licensing Program Analyst (LPA) Hansen conducted an unannounced case management and met with Arlene Wing, Licensee. The purpose of this case management inspection is to follow up on a Technical Assistance given at annual inspection visit 7/19/22.

LPA toured the facility with Licensee and observed and obtained pictures (LIC812) of fixed tile in residents bathroom and shower area. Facility has also conducted a deep cleaning of the area and locked up all toxins used to fix bathroom as requested by LPA.

No deficiencies cited during today's inspection.

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