Senior Care Records.

Facility Evaluation Report

Humble Haven RCFE II, Palmdale08/07/2024Licence 197610008

Capacity6
Census5
Date signed08/08/2024 10:53:03 AM
The inspector’s account

On 08/07/2024 Licensing Program Analyst (LPA) Melissa Spaeth conducted an unannounced required annual visit. LPA Melissa Spaeth was greeted by a caregiver. LPA Spaeth spoke to the Licensee, Nicole De Las Alas by phone and the Licensee arrived at 10:20 am. The Licensee stated they have sold the facility to another individual but did not know the status of the buyer's application with CCL. The Licensee also stated the two staff members working at the facility were hired by the new owner. The Licensee stated they had a personal appointment and had to leave the facility. The Licensee left at 11:05 am.

The facility is licensed as a Residential Care Facility for the Elderly (RCFE) to serve six residents of which six (6) may be non-ambulatory and one (1) may be bedridden. There is a hospice waiver for three residents. There are five residents living in the facility.

At 11:15 am, a former staff member arrived and stated they had purchased the facility as of May, 2024 and they had been a previous staff member of the facility. LPA Spaeth observed the previous staff member and the two caregivers who are currently working at the facility had received criminal record clearance.

LPA and the caregiver began the tour at 10:00 am until 11:00 am. LPA Spaeth observed the following:

Common areas – LPA observed the family room contained comfortable seating.

Dining Room/Kitchen Combination – LPA observed a seven-day supply of non-perishable food and a two-day supply of perishable food in the refrigerator. LPA Spaeth observed the kitchen knives and cleaning solutions were locked underneath the kitchen sink. The medications were safely locked in a kitchen cabinet.

Backyard - LPA observed comfortable seating located in a shaded area. The gate leading from the backyard to the front yard was not locked.

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