Senior Care Records.

Facility Evaluation Report

Shy Home, Palmdale09/06/2024Licence 197608281

Capacity4
Census4
Date signed09/06/2024 02:17:31 PM
The inspector’s account

Licensing Program Analyst (LPA) Melissa Spaeth conducted an unannounced annual visit and was greeted by the Administrator, Hilewna Tamrat. The facility is licensed as an adult residential facility to serve two ambulatory and two non-ambulatory clients. .

LPA and the Administrator began the tour of the facility at 8:45 am until 9:15 am. LPA observed the following:

Living Room/Dining Room – LPA Spaeth observed the living room comfortable seating and the dining room area contained a dining room table and chairs. A fire extinguisher is located in the dining room. The resident files were locked in a closet.

Kitchen - LPA Spaeth observed a seven-day supply of non-perishable food and a two-day supply of perishable foods. The fire extinguisher is located in the kitchen. The knives were locked in a kitchen drawer. The medications and the first aid kit were locked in a kitchen cabinet. The water temperature was tested at 9:00 am and the temperature was 108.0 F.

Bathrooms – LPA Spaeth observed the bathrooms contained hand soap, paper towels, and a trash can.

Bedrooms – LPA Spaeth observed there are three client bedrooms in the facility. The bedrooms contained bed, linens, night stand ,chair and night lamp.

Laundry Room – LPA Spaeth observed the laundry room was locked and contained the washer/dryer, and laundry detergent.

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