Facility Evaluation Report

On 06/22/2023 at 08:45 AM, Licensing Program Analyst (LPA) Jose Calderon conducted an unannounced annual inspection visit at the Golden Groves Residential Care LLC Facility. LPA Calderon was allowed entry into the facility by Staff Tana Lord. Staff Tana Lord was asked questions regarding the full care tools control package (13) sections. Staff Tana Lord took LPA Calderon temperature prior to entrance into the facility. The facility is licensed for six (6) elderly adult clients 59 year or older/disabilities. Currently, there are five (5) residents residing in the facility 59 year or older/disabilities.

LPA Calderon explained to Staff Tana Lord, the purpose of the one-year (1) Annual Inspection visit, and escorted LPA Calderon on a tour of the entire inside and outside facility grounds. As part of the inspection, LPA Calderon reviewed: five (5) resident service records, five (5) resident medication records, three (3) staff records. LPA Calderon interviewed five (5) residents and two (2) staff members for visit. LPA Calderon inspected the inside facility and outside grounds to include all common areas, bathrooms, and all bedrooms. The facilities’ last fire drill was conducted on 01/05/2023 . The one-story residential home consists of six (6) resident bedrooms, three (3) resident bathrooms, living room, dining room, family room, kitchen, office area, attached garage with washer and dryer/ storage area, backyard with table and chairs. No weapons are stored in the premises. Kitchen was inspected and observed to be clean and operational. A two-day (2) supply perishable and seven-day (7) supply of non-perishable foods are present in the facility. Emergency Water seven-day (7) supply is found in the garage.