Senior Care Records.

Facility Evaluation Report

Peaceful Kingdom Home Care I, Reseda01/05/2022Licence 197610244

Capacity6
Census5
Date signed01/05/2022 02:57:22 PM
The inspector’s account

At approximately 2:37 PM on 01/05/2022, Licensing Program Analyst (LPA) Nicholas Reed conducted a Case Management visit. LPA met with staff and disclosed the reason for the visit.

LPA was screened for COVID-19 symptoms at the front entry door.

LPA conducted a physical plant tour at approximately 2:41 PM. LPA met with all residents.

Exit interview conducted and report issued.

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