Senior Care Records.

Facility Evaluation Report

Maria Zoila INC, Ukiah07/02/2024Licence 236804078

Capacity4
Census4
Date signed07/02/2024 11:53:44 AM
The inspector’s account

Licensing Program Analyst (LPA) Jacky Macias arrived unannounced to conduct a required Annual inspection and was greeted by Administrator Ross Barlahan.

At approximately 845am, LPA and Administrator toured the building and grounds. The facility was found to be clean and at a comfortable temperature. LPA observed at least a 2 day supply of perishable and 7 day supply of non-perishable food. Food was found to be stored in a safe manner. Kitchen cabinet below the sink containing cleaning supplies was locked. Kitchen drawer with sharp knives was locked.

All bedrooms were equipped with lighting, night stand, and chest of drawers. All bedrooms were clean and in good repair. Extra hygiene products and linens were available. Resident bathroom had required bath mat. Water temperature in sink accessible to residents in care measured at 114.6 and 113.9 degrees F which is within the allowable range of 105 to 120 degrees F.

Fire extinguishers were last inspected August 24, 2023. Smoke/Carbon Monoxide detectors located throughout the facility were tested and operational. Facility’s last quarterly disaster drills were conducted May 31, 2024. Facility has a backup generator for use during a power outage.

At approximately 9:00am, LPA conducted review of 5 staff records. All required documentation present.

At approximately 9:30am, LPA conducted a review of 4 of 4 client records all of which required documentation was present. Administrator has been attempting to get an updated Appraisal Needs and Services Plan for Client (C1) and an Appraisal Needs and Services Plan for Client (C2). (Technical Advisory cited).

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