Senior Care Records.

Facility Evaluation Report

Cottages of Lake Balboa 1, the, Lake Balboa09/09/2021Licence 197609865

Capacity6
Census5
Date signed09/09/2021 12:48:51 PM
The inspector’s account

At 10:30 a.m., Licensing Program Analyst (LPA) Emily Peraldi arrived at the facility unannounced to conduct a required annual visit. LPA was greeted and screened by staff, DIANA SO. The Administrator JUSTIN LEVI arrived at the facility at 10:35 a.m. This annual had a specific emphasis on infection control practices and procedures.

Between 10:50 a.m.- 11:30 a.m., LPA toured the physical plant areas inside and outside to ensure there are no health and safety hazards and facility is in compliance with Title 22 Regulations.

OUTDOOR SPACE: At 10:55 a.m., LPA observed the back patio, which has a covered outdoor area for resident use. There is a gate on the side of the facility designated for an emergency exit. Passageways were free and clear from obstruction.

KITCHEN: At 10:50 a.m., LPA observed the kitchen/dining area. Knives are stored in a locked cabinet. Kitchen appliances are in operable condition. The facility has a sufficient supply of perishable and non-perishable food. At 11:16 a.m., hot water measured at 113.9-degree Fahrenheit. Medications and first aid kits are located in a locked kitchen cabinet.

BEDROOMS: LPA observed resident bedrooms, which were furnished appropriately with clean linens, appropriate furnishings and sufficient lighting. Inside temperature was maintained at a comfortable level.

RESTROOMS: Restrooms are relatively clean and sanitary and in operating condition with grab bars and non-skid mats. At 11:18 a.m., hot water measured at 115.2-degree Fahrenheit.

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