Senior Care Records.

Facility Evaluation Report

C-H #4 Residential Care for Elderly, Hawthorne09/26/2024Licence 197607576

Capacity4
Census2
Date signed09/26/2024 03:30:58 PM
The inspector’s account

On 09/26/2024 at around 1:20 PM, Licensing Program Analyst (LPA) Leandro conducted an unannounced Required – 1 Year Inspection to the above-named facility and met with Staff Thessyln Wilson. LPA explained the purpose of the visit and was accompanied by Staff inside and outside the facility during this inspection.

This facility is licensed to serve 4 adults ages 60 and above, of which 1 maybe non-ambulatory resident.

A total of 2 ambulatory residents are currently residing in this facility.

The facility has a balance of $495 in Annual Licensing Fees due on 10/16/2024.

The facility is a one-story house located in a residential street. The home consists of 3 resident bedrooms, 2 bathrooms, 1 living room, 1 kitchen/dining room area, 1 den, 1 kitchen, 1 detached garage, 1 laundry area and 1 backyard patio area with seating.

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