Senior Care Records.

Facility Evaluation Report

Powelson Home V, Winnetka12/19/2023Licence 197607424

Capacity4
Census2
Date signed12/19/2023 11:53:53 AM
The inspector’s account

Licensing Program Analyst (LPA) Tuesday Cabiness conducted a required annual inspection for the facility. LPA met with staff Robert Dela Cruz, who was informed the reason of the visit. Administrator was contacted and notified of the visit.

A tour of the physical plant was conducted. LPA observed Licensing required postings, as well as COVID signs. All smoke alarms and carbon monoxide were tested and functioning properly. Fire extinguishers were charged. Disaster drills are conducted every other month, the last disaster drill was conducted 09/26/2023.

Kitchen: The kitchen appeared clean and the appliances and fixtures functional. LPA found a sufficient amount of perishable and non-perishable food at the facility; and food was properly stored and labeled. Medications were locked in a kitchen cabinet. Knives and sharps are stored in a locked kitchen drawer. There is an extra freezer and refrigerator in the garage, stocked with food.

Bedrooms: There were four bedrooms; (1) shared, (2) private and (1) room for staff. All bedrooms were properly furnished and had appropriate bedding and linens.

Bathrooms: There were three bathrooms designated for clients' use. All bathrooms were clean, properly supplied and had functional fixtures. LPA observed non-skid mats and grab bars. Hot water temperature was measured at 116.6 degrees Fahrenheit. There is soap and towels available.

Common Areas : These included the living rooms and dining area. The common areas were clean and properly furnished. There is a staff office with gym equipment for client's use.

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