Facility Evaluation Report

Casa Palma, Santa Ana11/23/2024Licence 306006048

Capacity6
Census4
Date signed11/23/2024 11:00:06 AM
The inspector’s account

On 11/23/2024 at 08:30 AM, Licensing Program Analyst LPA) Jose Calderon conducted an unannounced annual inspection visit at the Casa Palma Facility. LPA Calderon was allowed entry into the facility by Administrator Renee Kelada. Administrator Kelada asked infection control questions and took LPA Calderon temperature prior to entrance into the facility. The facility is licensed to operate 6 non-ambulatory and 1 bedridden resident 60 and older. Currently, there are four (4) residents residing in the facility, 60 and older.

LPA Calderon explained to Administrator Kelada, the purpose of the one-year Annual Inspection visit, and escorted LPA Calderon on a tour of the entire inside and outside facility grounds. As part of the inspection, LPA Calderon reviewed: Four (4) client service records, four (4) client medication records (MAR), three (3) staff records, and inspected the inside facility and outside grounds. The facilities’ last fire drill was conducted on 08/01/2024 . The one-story residential home consists of four (4) client bedrooms, three (3) client bathrooms, living room, dining room, kitchen, staff room, office area, attached garage with washer and dryer/ storage area, backyard with table and chairs. No weapons are stored in the premises. Kitchen was inspected and observed to be clean and operational. A two-day supply perishable and seven-day supply of non-perishable foods are present in the facility. Emergency Water Storage is in the garage and kitchen area.

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