Senior Care Records.

Facility Evaluation Report

Ayanna Home Care, Lakewood09/12/2024Licence 198603457

Capacity6
Census4
Date signed09/12/2024 09:37:08 AM
The inspector’s account

Licensing Program Analyst (LPA) Luis Mora conducted an unannounced annual continuation visit at the facility using the CARE Tool. LPA Mora met with the Administrator Elba Rodriguez and explained the reason for the visit.

During this visit, LPA Mora conducted another tour of the facility, interviewed 2 staff and 2 residents, reviewed the Emergency Disaster Plan, and delivered the findings for the annual visits conducted on 08/27/2024 and today.

Per California Code of Regulations, Title 22, and California Health and Safety Code, there was a deficiency observed during these annual visits (Refer to LIC 809-D). Exit interview held and a copy of the report and appeal rights were provided.

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