Senior Care Records.

Facility Evaluation Report

Providence Manor, LLC, the, Palmdale06/10/2022Licence 197610242

Capacity6
Census4
Date signed06/10/2022 11:21:42 AM
The inspector’s account

LPA Spaeth arrived at the facility at 9:00 am and was greeted by the Administrator. LPA's temperature was recorded and LPA answered the COVID screening questions and signed in at the front entrance. The administrator confirmed there are four residents in the facility.

LPA conducted the Comp III presentation with the Administrator from 9:05 am until 9:50 am..

LPA and the Administrator began the tour at 9:50 am. Upon entering the facility, LPA observed the living room/dining room combination. The living room contained comfortable seating and the dining room contained a dining room table with chairs. The room was spacious and clean.

LPA entered the kitchen/family room combination and observed a five-day supply of fresh fruits and vegetables in the refrigerator. The freezer section contained frozen meats. LPA observed a seven-day supply of canned goods, pasta, and rice within the pantry. The cleaning supplies were locked underneath the sink and the knives are safely locked in a kitchen cabinet. LPA also observed the locked cabinet which contains the residents’ medications and the first aid kit. The family room contains comfortable seating and a television. A resident was enjoying an activity with a caregiver and another resident was sitting on the couch reading a magazine.

LPA was then escorted outside and observed a covered patio with comfortable patio furniture. The side gate was unlocked that leads from the backyard to the front yard. LPA observed four resident rooms which all contained a bed, linens, chair, night stand, lamp, chest of drawers, and a closet. LPA observed the resident rooms each contained a doors which lead to the outside of the facility. The egress alarms were properly working throughout the facility.

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