Senior Care Records.

Facility Evaluation Report

Queen Mary Guest Home II, Buena Park03/14/2024Licence 306003399

Capacity6
Census5
Date signed03/14/2024 12:19:11 PM
The inspector’s account

Licensing Program Analyst (LPA) Jerome Haley conducted an unannounced visit for the purpose of conducting a required one-year annual inspection. LPA Haley was greeted and granted entry by staff and explained the reason for the visit. Licensee/Administrator (AD) Evangeline Bruno has a current Administrators certificate that expires August 27, 2024.

Queen Mary Guest Home II is a one-story community with 4 bedrooms and two bathrooms. The facility capacity is 6 and the census was 5 during the annual visit. All residents were observed in the living room or in their bedroom during the visit.

During the inspection, LPA Haley observed all resident bedrooms and bathrooms. All resident bedrooms had all the requirements and were in compliance with regulation guidelines. Resident bathrooms were in compliance as well. Hazardous cleaning items were locked under the sink and grab bars were tightly secured to the wall. Hot water temperatures were measured in both bathrooms. In bathroom #1 hot water measured at 120.0 degrees Fahrenheit, and in bathroom #2 hot water measured at 118.7 degrees Fahrenheit.

In the hallway, next to bathroom 1, LPA Haley observed cabinets with clean linen. In the hallway there was a locked closet where hazardous cleaning supplies are kept. There was a carbon monoxide detector in the hallway mounted on the wall in between the caregiver room and a resident room.

In the kitchen knives and sharp objects are locked under the sink. There was a perishable food supply that meets the regulation requirements. In the hallway next to the front door there was a supply of non-perishable food items.

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