Senior Care Records.

Facility Evaluation Report

Xavier Adult Home, Norwalk12/05/2023Licence 198601349

Capacity4
Census4
Date signed12/06/2023 08:54:22 AM
The inspector’s account

Licensing Program Analyst (LPA) Nicol Wesley conducted an unannounced Required 1 year inspection at the facility and met with Administrator Edith R. Silva and explained the purpose for todays visit. The facility phone number is 562 929 8277.

The facility consist of 4 bedrooms 3 bathrooms, living room, kitchen, dining area, laundry area, back yard, and an attached garage.

The facility had all postings at the front entrance, bathrooms, and throughout the facility. A Pre screening area with PPE supplies was observed upon entry into the facility.

LPA conducted a complete tour of the facility, and observe the supply of food. Resident medications, and medication logs were reviewed. The smoke detectors/carbon monoxide detector are operable. LPA observed one fire extinguisher in the kitchen. The water temperature was tested and measured 118.2-119.8 degrees F. LPA Wesley sent a copy of the infection control plan to the licensee at the time of visit.

Administrators certificate for Edith Reynoso-Silva #6010876735 expires 11/30/24.

The following deficiencies were cited in accordance to the Title 22 regulations. Appeal rights given.

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