Senior Care Records.

Facility Evaluation Report

Zamora Residence II, Susanville08/20/2024Licence 185002765

Capacity6
Census4
Date signed08/20/2024 12:36:40 PM
The inspector’s account

On August 20, 2024 at approximately 10:45 AM, Licensing Program Analyst (LPA), Farhaan Sarangi arrived unannounced at Zamora Residence II for the purpose of conducting a Required 1 year inspection. LPA was greeted at the door by Administrator, Alicia Motts and was granted access into the facility.

LPA and Administrator toured the facility. LPA observed the facility to be clean and at a comfortable temperature with all exits free from obstruction. Fire Extinguisher was found to be last charged on March 2024 at the time of the inspection. Carbon monoxide detectors were tested and found to be operational during the inspection. 3 out of 4 smoke detectors were removed by the clients in the facility (See LIC 9102-Technical Violation). LPA observed new smoke detectors ready to be installed. Licensee is in the process of installing the smoke detectors today. Water temperature in facility bathroom measured at 105 degrees, within acceptable range of 105 to 120 degrees F. LPA observed sufficient perishable and non-perishable foods located in the kitchen. There are special provisions made for individuals with special dietary needs. Food menu was presently available for viewing during the inspection. Medications were centrally stored and locked. 2 out of 2 medication orders were reviewed and found to be in compliance. Cleaning products and other toxins are located in the laundry room that was locked and inaccessible to clients in care. There was a supply of linens, cleaners, hygiene products and paper products available for clients. All bathrooms designated for clients in the common areas at the facility were supplied with individual paper towels and hand soap. Bathrooms in clients rooms have a towel and soap. Bathrooms were equipped with necessary grab bars, and non-slip floors/mats were present. A tour of client bedrooms were conducted, and bedrooms inspected have lighting and appropriate furnishing. LPA advised facility to contact County Public Health and Community Care Licensing immediately if symptoms of COVID-19 or other infectious diseases are present in the facility.

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