Senior Care Records.

Facility Evaluation Report

CBG Home INC., Gardena11/22/2024Licence 198601934

Capacity6
Census4
Date signed12/03/2024 01:26:08 PM
The inspector’s account

On 12/03/24 , Licensing Program Analyst (LPA) Ernand Dabuet conducted an unannounced annual required visit using the CARE Inspection Tool. LPA met with House Manager Kimberly Cooper. LPA explained the purpose of today’s visit. The facility is licensed to operate for (6) non-ambulatory of which may be (1) bedridden adults 18 through 59. The residents are all Westside Regional Center consumers.

The facility is a single-story structure located in a residential neighborhood. It consists of the following: (3) client rooms, (1) staff room, (2) bathrooms, a living area, a dining area, a kitchen, an outside seating area, and a garage used for storage.

LPA toured the physical plant. There were no bodies of water on the premises. All rooms were inspected. Beds and bedding supplies were in operational condition, lighting was provided, and storage for the client's personal belongings was observed. Bed linens, and bath towels were available during the visit. Bathrooms were operational with water temperature measured at 105.7 degrees F. A comfortable temperature of 72 F. degrees was maintained in the facility.

LPA observed the facility to be furnished at the time of the visit. Storage areas for personal hygiene and sharps objects were stored and not accessible to residents. The kitchen was inspected, and sufficient perishable and non-perishable food was maintained adequately. A fire extinguisher was charged. A review of the Medication Records Administration (MAR) was observed to be maintained in place.

LPA observed First Aid Kit was maintained. A working landline phone was operational. The last fire drill was conducted on 03/01/24. The facility had operational smoke and carbon monoxide in bedrooms and common areas.

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