Senior Care Records.

Facility Evaluation Report

Crossdale Residential Home, INC, Norwalk07/12/2024Licence 198603181

Capacity4
Census4
Date signed07/12/2024 11:38:17 AM
The inspector’s account

Licensing Program Analyst (LPA) S Vaid conducted an unannounced annual inspection visit. Upon arrival, LPA met with DSP Eulesa Natulac and explained the reason for the visit. Services provided by Harbor Regional Center. Shortly after, the administrator Ivy Redjal, arrived and discussed the purpose of today's visit. Annual fees are current.

LPA used the Care control tool to evaluate the facility. LPA observed the facility plant, COVID-19 procedures, reviewed clients' medications, observed food supply, and reviewed client and staff files.

The facility is a single story house and located in a residential neighborhood area. The facility includes: Living room, dining area, kitchen, laundry room, four clients bedrooms, two clients bathrooms, lounge area and a detached garage. All 4 clients bedrooms were toured. Each client room has one bed, one chair, one night stand, required bed linen, and furniture and sufficient lighting and closet space. All 2 bathrooms were toured and they are clean, sanitary and in a good working condition. The hot water temperature was tested between two bathrooms were tested between 107 and 110.3 which is within the Tittle 22 regulation. The refrigerator in the kitchen and the supply room has 2 days perishable and 7 days non-perishable food supply in the facility. The sharp knives and utensils are stored and locked in the kitchen drawers. All the kitchen appliances are working properly. The common area such as living room and dining area are clean and have the required furniture. The back yard has a shaded area with tables and chairs for clients to utilized. The smoke detectors and carbon monoxide detectors are interconnected and they are working well. All outdoor and indoor passageways are free from obstruction. First aid kit was fully stocked with manual. The last Fire/ Emergency Drill was conducted on 07/02/2024. LPA also reviewed three staff files to confirm health screenings and fingerprint clearances.

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