Senior Care Records.

Facility Evaluation Report

Kelly House INC, Palmdale10/27/2022Licence 197609302

Capacity6
Census4
Date signed10/27/2022 12:14:19 PM
The inspector’s account

Licensing Program Analyst (LPA) Joscelyn Martinez arrived at the facility to conduct an unannounced annual inspection. Upon arrival LPA was greeted by staff and LPA’s temperature was taken. At 11:20 a.m a physical tour of the facility was conducted and the following was observed:

Infection Control: Covid-19 infection control signage were observed outside of the facility. Proper signage was also observed inside in the common areas. Facility has sufficient PPE supplies for more than 30 days. Food Inspection: LPA observed there to be sufficient stock of one-week non-perishable foods and two-day perishable foods. Food storage and preparation areas are clean and inaccessible to pests. Garbage cans have tight fitting covers in the kitchen. Sharps are centrally stored in a locked cabinet. Dual Smoke detectors/Carbon monoxide detectors are located throughout the facility and are hardwired. Smoke detectors and carbon monoxide detectors were tested at approximately 11:57 a.m. and appear to be functional. Facility has multiple fire extinguisher that are full charged with a purchase date of 06/15/22. Common Areas: All common areas were observed to be clean and properly furnished. Facility maintains a comfortable temperature of 72.0 F. There is a closet in where the laundry and chemicals are stored. This door is locked and inaccessible to clients. Clients Rooms: Facility has five (5) bedrooms which of four (4) are designated for client use. All five (5) bedrooms were toured and appear to be clean and properly furnished. LPA observed additional bedding and linens sufficient for all of the clients. Towels are not shared. All rooms have adequate lighting. Bathrooms: There are two (2) bathrooms in the facility designated for client's use. LPA observed all bathrooms to have grab bars. The hot water was tested and measured at 116.4 F. All trash cans located in the bathrooms had tight fitting lids.

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