Senior Care Records.

Facility Evaluation Report

Powelson Home IV, Canoga Park11/26/2023Licence 197606438

Capacity6
Census6
Date signed11/26/2023 04:42:16 PM
The inspector’s account

A Required One (1) year - Infection Control visit was conducted today by Licensing Program Analyst (LPA) Gary Tan. LPA met with Administrator Ruth Ramos and purpose of the visit stated. This is a North Los Angeles Regional Center vendored facility Level II.

A tour of the physical plant was conducted at 1:42 PM and the following was noted:

The front main door is the only entrance being utilized at the facility. There is a sign on the front main door that everyone entering at the facility must be screened. Screening area is located immediately upon entrance. Sign in sheet, hand sanitizer, gloves and masks are available. The facility had submitted and approved Mitigation Plan and Infection Plan.

Signs to wear a mask and other Covid 19 prevention protocol signs were posted outside the doors. Hand washing, coughing etiquette, physical distancing and other necessary signs were posted in the bathroom and all over the facility. All trash cans were observed to be with cover. The facility has a designated visitors' area at the backyard. The facility has sufficient stock of PPE in the garage.

Facility has four (4) private client bedrooms (2 private and 2 shared) and has two (2) bathrooms. Additional one (1) bedroom is designated for staff use. There is no body water in the facility.

Fire extinguisher - The fire extinguishers are located in the kitchen and at the hallway upstairs. Extinguishers were observed to be operable and last inspected on 06/14/23. Smoke alarms were hardwired and inter connected, tested and observed to be operational. There is a carbon monoxide installed at the facility. Temperature of facility wall thermostat was set at 74°F and observed to be within the required range.

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