Facility Evaluation Report
On 11/22/22 at 10:35 a.m., Licensing Program Analyst (LPA) Jewel Baptiste conducted an unannounced visit for the purpose of conducting the required annual inspection. On today's visit LPA met with Administrator, Hiransha Keerthisinghe who assisted with today’s visit.
The facility is licensed to serve 6 residents age 60 and over, 6 non- ambulatory, of which 1 may be bedridden. The bedridden will be in room #4. Hospice waiver for 2. The facility is a single-story building in a residential area, with a kitchen, living room/ office space, Living room/ dining room, 4 bedrooms, 1 bathroom, 1 staff bathroom, garage, and backyard with shaded area. Fire extinguisher observed kitchen fully charged. There are smoke detectors/ Carbon monoxide located throughout the facility, tested and operational.
LPAs discussed infection control practices with administrator, toured the facility inside and out, reviewed food supply, reviewed staff files, and reviewed resident medications.
Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction