Senior Care Records.

Facility Evaluation Report

Country Cottage 1, Hawthorne11/30/2023Licence 198600990

Capacity4
Census2
Date signed11/30/2023 02:08:42 PM
The inspector’s account

On 11/30/2023 Licensing Program Analyst (LPA) Alfonso Iniguez conducted an unannounced annual required visit using the CARE Inspection Tool. LPA met with Kim Post / Administrator and the purpose of today’s visit was explained. The facility is licensed to operate for (4) developmentally disabled or Mentally Ill adults ages 60 and above. Licensee is cleared for (4) non-ambulatory clients. Currently, the home has (2) clients. The clients are from: Westside Regional Center. (0) clients have Restricted Health Care Conditions, and (2) are utilizing postural supports or protective devices.

The home consists of (4) client bedrooms, (2) bathrooms, living room, kitchen, enclosed patio area, and dining area.

LPA Iniguez and administrator toured the inside and outside of the facility. All client rooms were checked. Mattresses and box springs were in good condition, adequate lighting was observed, plenty of dresser and closet space was observed. Bed linens, comforters and bath towels were adequately stocked at the time of visit. Bathrooms were found to be within Title 22 regulation. Toilets and water faucets worked properly. Shower was free of mold/mildew, there is adequate lighting, and sufficient toiletries accessible to clients. The water temperature properly measured between 105F°-120F° degrees (Kitchen 116.5F°, Bathroom #1 108.5°F).

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