Senior Care Records.

Facility Evaluation Report

Sherman House, Carson09/05/2024Licence 198320422

Capacity4
Date signed09/05/2024 11:13:04 AM
The inspector’s account

On 09/05/2024 at 08:40am, Licensing Program Analyst (LPA) Zina Brown and Licensing Program Manager Janae Hammond conducted an announced visit to the facility for purpose of a pre-licensing evaluation. LPA Zina Brown met with aplicant Candace Barber.

An application was submitted to CCLD on 09/11/2023, for an Adult Residential Facility (ARF) to serve adults for ages 18 through 59. The requested capacity is for four (4) residents.

The facility is a (4) bedroom, (2) bathroom, single story house with a attached garage. The facility is a structure with bedrooms, bathrooms, living room with TV, a kitchen (with the water temperature at 106.5F) , and a backyard accessible to residence. There is backyard, one outside shaded area with a shed for office use. The resident has (4) four bedrooms that are spacious and are easily accommodate the residence furnishings.

All (4) four bedrooms have the following one (1) bed, one (1) lamp, one (1) night stand, one (1) television, one(1) dresser, one (1) closet, and one (1) chair .

All bathrooms have a working toilet, wash basin, and shower . All bathrooms can accommodate ambulatory clients. Water temperature for each bathroom are as followed bathroom #1 (113.5 F) and bathroom #2 (117.9 F).

A first aid kit has been inspected which has at least the following tweezers, scissors, antiseptic, bandages, , thermometer and current first aid manual, which are stored in kitchen, available for staff use but inaccessible to residence.

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