Senior Care Records.

Facility Evaluation Report

Stevens Adult Residential Care Home, Santa Ana04/27/2023Licence 306004293

Capacity6
Census3
Date signed04/27/2023 12:09:04 PM
The inspector’s account

Licensing Program Analyst (LPA) Celine De Perio made an unannounced visit to the facility for a plan of correction (POC) in conjunction to complaint: 22-AS-20230329165330 based upon the deficiencies cited on the LIC9099-D dated for 04/06/2023.

LPA was greeted and granted entry by staff on duty (S1) Arjhun Garcia and stated the purpose of the visit.

For today's visit, there are a total of 3 clients in care, of which all 3 clients were attending Day Program.

On 04/06/23, licensee failed to ensure that planned recreational activities...are provided for the clients...

*Deficiency cited under Title 22 Regulation 85079(a)(1-2) pertaining to Activities has been CLEARED.

Facility provided LPA with proof of understanding via email regarding the regulation cited, revised the facility activity schedule for staff to adhere to, and purchased activity supplies.

During this visit, LPA observed that facility now has activities available such as: board games, card games, arts and crafts, indoor games, and sports balls (football, and soccer) for clients in care to utilize.

For this visit, no citations were issued.

An exit interview was conducted with S1 and a copy of this report, and cleared POC letter was provided and explained to S1.

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