Senior Care Records.

Facility Evaluation Report

Palos Verdes Care Cottage, Rancho Palos Verdes11/02/2024Licence 198320305

Capacity6
Census4
Date signed11/02/2024 01:21:56 PM
The inspector’s account

On 11/02/24, Licensing Program Analyst (LPA) Regina Cloyd conducted an unannounced annual continuation inspection and met with Staff Tri Kristianingsih . LPA explained the purpose of the visit and spoke with the Administrator Ma Salvacion Medina over the phone.

The purpose of today's visit is to deliver deficiencies observed on 10/12/2024. Deficiencies cited under California Code of Regulations, Title 22, Division 6, Chapter 8 (See LIC809-D pages).

On 10/12/24, LPA did not observe a operable washer and dryer. Administrator stated that it has been out since 10/11/24.

On 10/12/24, LPA observed an outdoor medical equipment and grill blocking one resident outdoor exit. LPA also observed a resident's couch blocking another resident's outdoor exit. LPA observed material (buckets, bags, rug, equipment, laundry baskets, trash cans, and etc) around the perimeter of the house.

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