Facility Evaluation Report

Auburn Creekside Villa, Auburn08/30/2021Licence 317005092

Capacity15
Census11
Date signed08/31/2021 09:24:03 AM
The inspector’s account

LPA Tryon arrived at the facility at 3:00 p.m. on 8/30/21 to perform an annual visit using the Infection Control Domain. Prior to the visit, LPA had checked with the facility to ensure they do not have any COVID Positive Residents or staff. LPA did a self-screening by taking temperature and reviewing possible symptoms. LPA wore a surgical mask and used hand sanitizer. LPA met with Licensee Therese Lancaster.

LPA toured the facility including common areas, kitchen, bedrooms, bathrooms, hallways, patio, yard.

LPA reviewed the infection control domain with the licensee. LPA requested a copy of most recent Administrator Certificate, copy of liability insurance, and current staff schedule.

The facility appears to be in substantial compliance at this time.

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