Facility Evaluation Report
Capacity6
Census5
Date signed11/16/2022 04:41:00 PM
LPA visited the facility on 11/16/2022 to conduct an annual visit using the infection control domain of the CARES Tool.
LPA toured the facility including common areas, kitchen, bedrooms, bathrooms, storage, yard. Facility appears to have adequate supplies of food, cleaning supplies, PPE, etc.
The home is clean, freshly painted, well-furnished and pleasant.
LPA reviewed the Infection Control Section of the CARES Tool.
At this time, the facility appears to be in substantial compliance with regulations. No deficiencies were cited at this visit. Exit interview conducted.
Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction