Senior Care Records.

Facility Evaluation Report

Lake Wildwood Manor, Penn Valley06/24/2024Licence 295002148

Capacity6
Census1
Date signed06/26/2024 09:11:04 AM
The inspector’s account

LPA Tryon arrived at the facility to do an unscheduled annual visit. LPA was greeted by staff Danny, who contacted licensee Mary Love. She arrived a short time later.

LPA toured the facility including common areas, kitchen, bedrooms, bathrooms, laundry, storage, outside area.

The house is clean, nicely furnished, has appropriate furnishings as per the regulations. Food supplies are adequate to meet the requirement of 2 days perishable and 7 days non-perishable supplies, appear to be of good quality.

The facility has medications centrally stored and locked.

Facility has adequate supplies of cleaners, hygiene products, PPE, etc.

Smoke detectors are functional, carbon monoxide detector installed, fire extinguishers present and charged.

Bedrooms have appropriate furnishings, bedding, etc.

LPA reviewed the CARE Tool with licensee. Emergency and disaster plans available, Infection control plan etc.

LPA reviewed 2 staff files and one resident file.

At this time , the home appears to be in substantial compliance with the regulations. Exit interview conducted.

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