Senior Care Records.

Facility Evaluation Report

Swan Lake Villa, Granite Bay07/01/2024Licence 315002796

Capacity7
Census4
Date signed07/01/2024 10:53:04 AM
The inspector’s account

Licensing Program Analyst (LPA) Melissa Parks arrived on Monday July 1, 2024 to conduct the unannounced annual inspection.

During today's annual inspection, the Compliance and Regulatory Enforcement Tool was used. LPA Parks reviewed resident (4) and staff files (4). All resident files contained the required paperwork. Staff files contained the required paperwork and training.

LPA Parks and staff Dina toured the facility together to ensure the health and safety of residents in care. The areas toured included resident rooms, bathrooms, living room, kitchen, garage, and backyard. In the areas toured, there were no health or safety violations observed.

Facility was clean and well organized. First aid kit is fully stocked. All required posting were observed. All knives/sharps are kept locked and inaccessible to residents.

No deficiencies cited. Exit interview conducted. A copy of this report was emailed to the facility.

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