Senior Care Records.

Facility Evaluation Report

Dolly House, North Hollywood09/25/2024Licence 195850495

Capacity6
Census6
Date signed09/25/2024 06:13:46 PM
The inspector’s account

Licensing Program Analyst(LPA) Christine Yee conducted an announced Prelicensing and Component III visit and met with Jennifer Pippard, Administrator and Corrine Botte, Operations Manager.

The facility is single storey family home consisting of a living room, dining room, a kitchen, laundry room, 6 resident bedrooms, an office/medication room, 3 common bathrooms and a conference room with a private bathroom. The facility is fire cleared for 6 NON-AMBULATORY clients.

The following were observed on today's visit:

the living room is furnished with a sofa, love seat, 2 arm chairs and a stand with a television

the dining room is furnished with a long dining room table and 6 chairs.

the kitchen is equipped with a stove, 2 refrigerators, 2 dishwasher and a microwave. Plates, bowls, drinking cups, forks and spoons for 6 residents were observed. Pots and pans for cooking. Sufficient perishable foods for a minimum 2 days and insufficient non-perishables for a minimum of 7 days were observed. Knives are stored in a locked drawer

the laundry room was observed with a washer and dryer and were operational. Laundry detergent are stored in a locked cupboard.

Bedrooms #1, #2, #4, #5 all have a twin bed, #3 has full sized bed and #6 has a hospital bed with full bed rails. Resident is on hospice. All bedrooms contained a night stand, a chair, a dresser, a lamp and a built in closet.

Bed linens per personal preference were observed on the bed. Throw blankets were observed on the beds. Full sizes blankets need to be purchased for the residents.

Extra flat sheets, fitted sheets, pillow cases, bath towels, hand towels and face towels were observed in the hallway linen closet.

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