Senior Care Records.

Facility Evaluation Report

A Peaceful Home of Covina, Covina01/18/2022Licence 198603521

Capacity6
Census0
Date signed01/18/2022 12:13:28 PM
The inspector’s account

Licensing Program Analyst (LPA) Tao conducted an announced visit for pre-licensing follow up inspection. The applicant notified the department for visit since corrections were made. The initial pre-licensing visit was conducted on 01/22/2022. LPA met with applicant, Thang Duong, to discuss the purpose of today's visit and the inspection.

During this visit, LPA observed the following corrections:

- Medication cabinet is installed with a key lock.

- Kitchen drawer containing sharp objects (knives, scissors and etc) is installed with a key lock.

- Water heater closet is secured with a key lock

- Cleaning supply, linen, and toxin closet on far end of hall is secured with a key lock.

- Five bedrooms have a keyless lock doorknobs.

- The dead-bolt on fire door leading to four resident bedrooms/bathroom has been removed.

- Toxins and gardening tools in backyard are stored in garages and inaccessible to residents.

- Sliding screen leaning on wall in the backyard is removed.

- Auditory alarm device on sliding glass door leading to backyard is operable.

- Sufficient supply of linen, bed sheets, blankets, pillows, and towels are observed.

- Hot water temperature is measured at 110.1 degrees Fahrenheit.

Component III was conducted with applicant during the initial visit on 1/22/22.

Exit interview held and copy of the report was provided.

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