Senior Care Records.

Facility Evaluation Report

Premier Heritage of Pasadena, Pasadena04/15/2025Licence 198603876

Capacity3
Census0
Date signed04/15/2025 10:55:53 AM
Name of licensing program analystBennette Pena
Name of licensing program managerDavid Sicairos
The inspector’s account

Licensing Program Analysts (LPAs) Bennette Pena and Blanca Gonzalez conducted an announced Pre-Licensing facility evaluation visit. LPAs met with Applicant Sharon Reyes, Owner/Administrator who assisted LPAs with the visit. LPAs utilized the Compliance and Regulatory Enforcement (CARE) tools for the visit today and the following was inspected during the evaluation with Sharon Reyes. The physical plant was toured inside and out, and the following are observed:

The facility is in a cliential neighborhood in the city of Pasadena. This single-story home contains (3) bedrooms, (2) bathrooms, office, living room, dining area, kitchen, storage room, laundry area, backyard and carport.

Each bedroom has a smoke detector, bed, linen, dresser, light, chair and sufficient closet space.

Smoke alarms and carbon monoxide were tested and operable.

C leaning solutions, soaps, pesticides stored in a locked cabinet in the storage room, stored separately from food supplies.

Sufficient supply of linens available to permit weekly changing are available.

Sufficient personal hygiene supply available.

(1) fire extinguisher was observed mounted on the wall in the dining area and was purchased on 10/10/2024.

Kitchen cabinets, refrigerator/freezer , oven, microwave, dishwasher, laundry machines are in working condition, clean and sanitary.

The home has an auditory device that will alert staff to monitor exits.

Doors, exits, hallways, and passageways were clear and free of obstruction.

No pools or bodies of water were observed in or around the property.

There are no firearms present at the property.

The home does not have a video camera monitor system inside and outside the property.

There is a covered outdoor patio area that is furnished for outdoor use.

Equipment and supplies for indoor activities was observed and available for use.

Hot water temperature readings were within the Title 22 Regulations requirement. Hot water readings were 112.2 deg F in bathroom #1 and 113.1 deg F in bathroom #2.

The Infection Control Plan has been submitted to CCL and the CAB Analyst. The facility has Infection Control Training Plan.

The facility has a fire clearance granted by the City of Pasadena Fire Department.

Fire clearance granted for (3) ambulatory, (0) non ambulatory and (0) bedridden.

Applicant stated that she will handle client's cash resources. Surety bond insurance is in effect in the amount of $10,000.

One (1) operating telephone was observed and tested by LPAs on the premises. Telephone is easily accessible and available for clients' use.

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