Senior Care Records.

Facility Evaluation Report

Devyn Lane Family Home, Lancaster09/10/2023Licence 197603477

Capacity4
Census4
Date signed09/10/2023 01:09:41 PM
The inspector’s account

A Required One (1) year visit was conducted today by Licensing Program Analyst (LPA) Gary Tan. LPA met with Administrator Luis Bru Jr. Purpose of visit was stated. This is a North Los Angeles Regional vendored facility level 3.

A tour of the physical plant was conducted at 10:08 PM and the following was noted:

The facility has two (two) gates leading to the main door. The only entrance being utilized is the main front door, there is a sign at the main door that everyone entering at the facility must be screened. Screening area is located immediately upon entrance. Sign in sheet, hand sanitizer, gloves and masks are available. The facility had submitted and approved Mitigation and Infection plan.

Signs to wear a mask and other Covid 19 prevention protocol signs were posted outside the doors. Hand washing, coughing etiquette, physical distancing and other necessary signs were posted in the bathroom and all over the facility. All trash cans were observed to be with cover. The facility has a designated visitors' area at the front and backyard. The facility has sufficient stock of PPE in the storage room.

Facility has four (4) bedrooms and two (2) bathrooms. One (1) bedroom and one (1) bathroom is designated for staff use. There is no body of water in the facility.

Bedrooms were toured and observed to be clean and properly furnished. Linen storage was also checked and observed to have ample supply of clean linen and towels.

Bathrooms were observed to be clean and sanitary with necessary supplies. Hot water temperature measured at 105.9°F and within the required range.

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