Senior Care Records.

Facility Evaluation Report

Sunnybrae Home, Winnetka08/23/2024Licence 197609684

Capacity6
Census6
Date signed08/30/2024 09:53:43 AM
The inspector’s account

Licensing Program Analysts (LPA) Leslie Ngo-Castaneda met with facility licensee Jeffrey Savella for a Plan Of Correction (POC) visit.

The purpose of the POC visit is to make sure deficiencies were corrected on reports issued on 8.7.2024.

LPA toured the home and requested the following:

-CCR 87465(d)(2) (d) and 87465(e) , Incidental Medical and Dental Care Services:

POC: Staff needs to be re-trained for medication dispensing and log.

POC date 8.23.2024: POC cleared during LPA visit.

-CCR 87506(b)(13), 87506(b)(15) , 87506(b)(17)(A) , 87506(b)(17)(B) , 87506(b)(17) (c ) &, 87506(b)(17)(D) Resident Records :

POC: Licensee needs to fill-in residents functional capability, appraisal, pre-admission, functional capability, mental condition, social factor

POC date 8.23.2024: POC Cleared during LPA visit.

- CCR 87456(a)(2) , Evaluation of Suitability for Admission:

POC: Admission agreement needs to be done when taking in a new resident.

POC date 8.23.2024: POC Cleared during LPA visit.

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