Senior Care Records.

Facility Evaluation Report

Jidde Residential Home I, Long Beach09/06/2024Licence 198601895

Capacity4
Census4
Date signed09/06/2024 04:05:55 PM
The inspector’s account

On September 6, 2024 Licensing Program Analyst (LPA) Deborah Lee conducted an unannounced Case Management-Annual Continuation visit from August 29,2024 using the CARE Inspection Tool. LPA met with the Direct Service Professional (DSP) Monette Mendiola. Administrator Julius Lopez arrived and assisted with the visit. LPA explained the purpose of today’s visit. The facility is licensed to operate for four (4) ambulatory adults ages 18 through 59. The clients are Harbor Regional Center consumers.

The facility is a single-story structure located in a residential neighborhood. It consists of the following: four (4) clients' rooms, two (2) bathrooms, a living area, a dining area, a kitchen, and an outside patio area.

During today's visit LPA reviewed resident's medications, reviewed residents' files, staff files, staff training's and resident's Personal and Incidental funds (P&I) records

Medications LPA observed all centrally stored medications in their original packaging and are secured in a locked cabinet that is inaccessible to the residents in care.

Files LPA reviewed six (6) resident files and found they contained all the necessary documentation. LPA reviewed four (4) staff files and found they contained the required documentation, certification, and training's. LPA reviewed copies of Client Roster, Staff Roster, Emergency and Disaster Plan (LIC610E)

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