Senior Care Records.

Facility Evaluation Report

Peaceful Kingdom Home Care I, Reseda03/10/2022Licence 197610244

Capacity6
Census3
Date signed03/10/2022 10:50:36 AM
The inspector’s account

At approximately 10:15 AM on 03/10/2022, Licensing Program Analyst (LPA) Nicholas Reed conducted an unannounced prelicensing inspection to verify deficiencies have been corrected. LPA met with Licensee and disclosed the reason for the visit.

LPA was screened for temperature and symptoms of COVID-19. Staff prompted LPA to record information in a visitor log. The facility had signs relating to COVID-19 hung throughout.

Water temperature – On 03/08/2022, LPA measured water temperature to be over 120 degrees Fahrenheit. On 03/10/2022, LPA measured water temperature at 119.1 degrees Fahrenheit.

Refrigerator temperature – On 03/08/2022, LPA measured refrigerator temperature to be approximately 50 degrees Fahrenheit. On 03/10/2022, LPA measured refrigerator temperature at 30.7 degrees Fahrenheit.

Freezer temperature - On 03/08/2022, LPA measured freezer temperature to be approximately 10 degrees Fahrenheit. On 03/10/2022, LPA measured freezer temperature at -14.1 degrees Fahrenheit.

All deficiencies found during the 03/08/2022 prelicensing inspection have been corrected.

LPA conducted exit interview and issued a copy of the report.

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