Senior Care Records.

Facility Evaluation Report

Michael's Manor, Harbor City08/08/2024Licence 198203284

Capacity6
Census5
Date signed08/19/2024 10:03:41 AM
The inspector’s account

On 08/08/2024 at 09:00 AM, Licensing Program Analyst LPA) Jose Calderon conducted an unannounced annual inspection visit at the Michaels Manor Facility. LPA Calderon was allowed entry into the facility by Administrator May Drapeau. Administrator May Drapeau asked infection control questions and took LPA Calderon temperature prior to entrance into the facility. The facility is licensed for six (6) non-ambulatory elderly adults ages 60 and over and may retain three (3) hospice residents. Currently, there are five (5) residents residing in the facility, between the age of 18 to 59 with cognitive issues.

LPA Calderon explained to Administrator May Drapeau, the purpose of the one-year Annual Inspection visit, and escorted LPA Calderon on a tour of the entire inside and outside facility grounds. As part of the inspection, LPA Calderon reviewed: Five (5) client service records, five (5) client medication records (MAR), three (3) staff records, and inspected the inside facility and outside grounds. LPA Calderon interviewed five (5) clients and three (3) staff members for visit. The facilities’ last fire drill was conducted on 07/08/2024 . The one-story residential home consists of four (4) client bedrooms, two (2) client bathrooms, living room, dining room, kitchen, staff room, office area, attached garage with washer and dryer/ storage area, backyard with table and chairs. No weapons are stored in the premises. Kitchen was inspected and observed to be clean and operational. A two-day supply perishable and seven-day supply of non-perishable foods are present in the facility. Emergency Water Storage is in the garage and kitchen area.

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