Senior Care Records.

Facility Evaluation Report

Elder Creek Villa III, Saugus05/05/2025Licence 197606229

Capacity6
Census5
Date signed05/05/2025 02:08:15 PM
Name of licensing program analystTuesday Cabiness
Name of licensing program managerTroy Agard
The inspector’s account

LPA Tuesday Cabiness conducted a required annual inspection at the facility. Upon arrival, LPA met with caregiver Mario Ilagan, who was informed of the purpose of the visit. LPA was granted entry and observed two additional staff members on duty. Caregiver Mario contacted Administrator Allen Rapisura, who arrived shortly thereafter and was also informed of the visit's purpose. The current census is five (5) residents.

The following required licensing documents were visibly posted: facility license, rights of resident council, grievance/complaint procedures, emergency disaster plan, resident bill of rights, personal rights, and neighborhood complaint procedures.

Physical Plant Tour: A comprehensive tour of the interior and exterior of the facility was conducted. The following areas were inspected: Kitchen/Food Supply: The food service area met Licensing requirements: a seven (7)-day supply of nonperishable food and a two (2)-day supply of perishable food. Food was wrapped and stored properly. Food preparation and storage areas were clean and pest-free. Kitchen appliances were clean and in working condition. The kitchen had been remodeled with freshly painted cabinets and new counter tops. Walls and floors were clean. Chemicals, household supplies, knives, and medications were locked and secured in the kitchen, garage, and closet.

Living/Dining/Family/Staff Areas: All indoor passageways were clear of obstructions. Rooms were clean, adequately furnished, and comfortable for residents. Bedrooms: The facility contains seven (7) bedrooms and two (2) bathrooms. Six (6) residents occupy the facility; one (1) bedroom is designated for staff use.

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