Senior Care Records.

Facility Evaluation Report

Kaya Home, Palmdale07/10/2024Licence 197610568

Capacity4
Census0
Date signed08/15/2024 08:10:13 AM
The inspector’s account

On 7/10/2024 Licensing Program Analyst (LPA) Melissa Spaeth conducted an announced pre-Licensing visit to this facility and met with the Licensee. This is a new application and a fire clearance dated 3/21/2024 was received for three (3) ambulatory residents and one non-ambulatory resident. Bedroom 1 is designated as the non-ambulatory room. The facility phone number is 661-526-5550.

The purpose of today’s visit is to inspect the facility to ensure that it maintains compliance under California Code of Regulations, Title 22, Division 6. Component III was conducted with the applicant from 9:15 am until 10:15 am.

Today’s site visit consisted of LPA touring the physical plant inside and outside from 10:15 am until 10:45 am. LPA Spaeth observed the following:

Living Room – the living room contained comfortable seating and a television.

Kitchen/Dining Room - The dining room section contained a dining room table and chairs. The facility contained a seven-day supply of non-perishable food and a two-day supply of perishable foods. A fire extinguisher is also located in the kitchen. Appliances in the kitchen appeared to be functional. The cleaning solutions were locked underneath the kitchen sink.. The knives and first aid kit were locked in a kitchen cabinet. The Licensee stated the clients' medications will be safely locked in the kitchen cabinet.

Backyard - The backyard contained a shaded area for residents to enjoy outside activities. There was comfortable seating located in the shaded area. The side 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