Senior Care Records.

Facility Evaluation Report

Pate Enterprises, INC. ( Menlo ), Gardena11/09/2023Licence 198601623

Capacity6
Census4
Date signed11/09/2023 01:23:29 PM
The inspector’s account

On 11/9/23, Licensing Program Analyst (LPA) Felisa Shirley arrived at facility to investigate a complaint. During the course of the investigation, LPA Shirley toured the facility and observed two violations.

Based on the facility tour, LPA observed a mattress in the back room with discolored yellow circles on the surface covered in plastic with a strong urine smell. LPA observed two new twin mattresses in the facility. Administrator Renita stated that she will put mattresses on the bed when she gets mattress pads with a zipper to secure mattress. LPA also observed that the garage was locked and administrator did not have access.

Deficiencies are being cited based on LPA observations and interviews conducted in accordance with the California Code of Regulations, Title 22, Divisions 6 chapter 1, see LIC 809D.

An exit interview was conducted, Plans of Corrections were discussed and a copy of this report and appeals rights were and left with Administrator, Renita Campbell whose signature on this form confirms receipt of these documents.

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