Senior Care Records.

Facility Evaluation Report

Belgreen Manor, Lake Forest08/29/2022Licence 306005820

Capacity3
Census2
Date signed08/29/2022 10:38:51 AM
The inspector’s account

Licensing Program Analyst (LPA) Celine De Perio conducted an unannounced required annual inspection focusing primarily on the Infection Control. LPA De Perio was greeted and granted entry by staff on duty who checked temperature prior to entering facility.

NOTE: Ring doorbell/camera is located at the main entrance of the facility next to the front gate and is utilized as the main door bell.

During the visit, 2 staff were on duty, of which consisted of the facility administrator (AD) Voltarie Almacen and House Manager (HM) Delwyn Lacson. As of 8/29/22, there are 0 active COVID-19 cases in the facility as verified. LPA De Perio observed the COVID-19 precautionary signs posted throughout the facility. The PUB475 "See Something, Say Something" poster was also observed at the main entrance of the facility. LPA observed the Administrator's Certificate for Voltarie Almacen which expires on 9/2/2023.

LPA De Perio toured the interior and exterior portions of the facility with HM Lacson . The facility is a single level structure and is licensed for 3 ambulatory clients. Currently, there are a total of 2 clients in care, of which client #1 was asleep and client #2 was attending day program. All bedrooms were provided with furniture in good repair, clean linens, adequate storage space, and kept free of tripping hazards. Smoke and carbon monoxide detectors were tested and operational. The restrooms were observed to be in good repair, toilets were operational and water temperature in restrooms were measured to be at 105.1 degrees Fahrenheit and hand washing signs were also posted in each restroom

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