Senior Care Records.

Facility Evaluation Report

Three C'S Care Home, North Hollywood06/15/2023Licence 197609097

Capacity6
Census5
Date signed06/23/2023 07:59:38 AM
The inspector’s account

Licensing Program Analyst(LPA) Christine Yee conducted an unannounced required Annual Inspection and met with Milagros Lopez, Administrator. LPA Yee explained the reason for today's visit. The inspection was conducted using the CARE tool.

The facility is a single storey home consisting of a living room, dining room, kitchen, three bedrooms, a private bathroom, a common bathroom and a detached garage. The facility is fire cleared for five(5) non-ambulatory and one(1) bedridden.

The following was observed on today's visit:

the living room had the appropriate furniture

the dining room was observed with a glass table and four chairs.

staff and client files are stored in a cabinet in the living room

the kitchen has a stove, refrigerator and dishwasher that were operational

toxins and cleaning solutions are stored in a locked in a cabinet under the sink

medications are centrally stored in a locked kitchen cabinet

sharp knives are stored in a locked kitchen drawer

washing machine and dryer are housed in a kitchen closet

Perishables for 2 days and non-perishable foods for 7 days were observed

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