Senior Care Records.

Facility Evaluation Report

Kelly House INC, Palmdale09/03/2025Licence 197609302

Capacity6
Census4
Date signed09/03/2025 04:23:06 PM
Name of licensing program analystMelissa Spaeth
Name of licensing program managerTroy Agard
The inspector’s account

On 9/03/2025 Licensing Program Analyst (LPA) Melissa Spaeth conducted an unannounced annual visit and was greeted by the facility manager Rasheed Ade Orenowo. LPA Spaeth stated the purpose of the visit was to conduct an annual inspection. The facility is licensed as an adult residential facility to serve six ambulatory clients. The manager confirmed there are four residents.

LPA and the facility manager began the tour of the facility at 10:15 am until 10:40 am. LPA observed the following:

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

Family Room - LPA Spaeth observed comfortable seating and a television.

Kitchen - The kitchen contains a kitchen table and chairs. LPA Spaeth observed a seven-day supply of non-perishable food and a two-day supply of perishable foods. The knives were locked in a kitchen cabinet. The fire extinguisher is located in the kitchen.

Hallway Closet - The closet was locked and contained the client medication, first aid kit, emergency supply of water, and client records..

Laundry area - The laundry area was locked and contained laundry soap, washing machine and dryer.

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