Senior Care Records.

Facility Evaluation Report

Xavier Adult Home, Norwalk06/29/2022Licence 198601349

Capacity4
Census4
Date signed06/29/2022 04:21:24 PM
The inspector’s account

On 6/29/22 at 2:0 0 p.m., Licensing Program Analyst (LPA) Jewel Baptiste conducted an unannounced case management inspection at the facility. LPA met with Administrator Edith Silva and discussed the purpose of the visit, which is to gather additional information regarding the facility operating over capacity.

According to the information received prior to case management visit. Administrator has moved another client into the facility due to renovation at another home in Orange county. With the addition of C1 the facility will have a total of 5 clients. The client 1 (C1) is under Orange county regional center.

During today's visit, LPA toured the facility with administrator. LPA interviewed Administrator and Client 3. LPA obtained a photo of staff roster and written client roster.

During the tour LPA observed 4 clients and administrator and staff confirmed another client is currently at a day program. Administrator confirmed other home will be renovated for 2 months. Administrator stated C1 has lived at the facility between 1- 1 ½ weeks and belongs to Orange County Regional center. Administrator also stated C1 is at the facility because C1 wants to sleep with family member C2, but C1 has a room at administrators home not to far from the facility. C3 stated the C1 is not part of the facility but sleeps with C2. Administrator stated C1 will not sleep here as of 6/29/22 but will visit C2 during the day.

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