Senior Care Records.

Facility Evaluation Report

Country Cottage 1, Hawthorne10/11/2024Licence 198600990

Capacity4
Census4
Date signed10/11/2024 02:41:16 PM
The inspector’s account

On 10/11/2024 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 Administrator Kim Post. LPA explained the purpose of the visit and was accompanied by the House Manager inside and outside the facility during this inspection.

This facility is licensed to serve 4 non-ambulatory adults ages 18 – 59 years.

A total of 4 clients are currently residing in this facility.

The facility has a balance of $454 due on 11/07/2024 of Annual Licensing Fees.

The facility is a one-story house located in a residential street. The home consists of 4 client bedrooms, 2 bathrooms, 1 entry room/living room/dining room/kitchen area, 1 backyard patio area with shaded seating, and 1 attached garage.

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