Senior Care Records.

Facility Evaluation Report

Xavier Adult Home, Norwalk07/01/2022Licence 198601349

Capacity4
Census4
Date signed07/01/2022 09:49:26 AM
The inspector’s account

Licensing Program Analyst (LPA) Angelica Rea conducted an unannounced visit for the purpose of conducting a case management visit to ensure that the facility is not operating over capacity.

On today's visit, LPA Rea was greeted and allowed entry into the facility by Caregiver, Demar Mondragon. LPA explained the reason for today's visit. Caregiver, Analiza Mondragon called Administrator by telephone. However, Administrator, Edith Silva was unable to come to the facility during the visit, because she was meeting with a Licensing Program Analyst at her Children's Residential Facility.

LPA Rea spoke to Ms. Silva by telephone. Ms. Silva stated that resident #5 has been relocated to a hotel. She said resident #5 will be residing at the hotel for approximately 60 days, while her facility located in Orange County is being renovated. She stated that she has submitted the information to the appropriate regional centers, including the name of the hotel and picture(s) of the room.

LPA Rea toured the facility, and observed 4 residents. Resident #1 and Resident #2 were asleep in their room(s), Resident #3 was watching television in his room, and Resident #4 had just showered and was in her room.

There were no deficiencies issued during today's visit. LPA Rea conducted exit interview, and provided a copy of the report to Ms. Mondragon.

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