Senior Care Records.

Facility Evaluation Report

Three Pines Adult Residential Facility, Auburn09/09/2024Licence 317001368

Capacity6
Census6
Date signed09/09/2024 04:40:16 PM
The inspector’s account

On 9/9/2024 LPA Tryon visited the facility to conduct an annual visit. LPA met with Joel Seisa, Administrator.

LPA toured the house including common areas, kitchen, bedrooms, bathrooms, hallways, staff areas, yard. The facility appears to be clean and adequately furnished. Residents have appropriate furniture, bedding, etc. Smoke detectors are installed as well as 2 carbon monoxide detectors. Fire extinguishers are present and were recently charged.

Food supplies appear appropriate to meet requirement of 2 days perishable and 7 days non-perishable. Food appears to be varied and appetizing

Bathrooms are clean, grab bars installed, paper towels and soap available, plumbing clean and functional.

LPA reviewed 2 staff files and 2 resident files. Files included required documentation. LPA interviewed 2 residents.

LPAs reviewed the CARE Tool with licensee.

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

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