Senior Care Records.

Facility Evaluation Report

Casa Michana, Menifee06/14/2024Licence 336411389

Capacity5
Census2
Date signed06/14/2024 03:27:47 PM
The inspector’s account

On 6/14/2024, Licensing Program Analyst (LPA), Janette Romero arrived unannounced to conduct an annual required inspection. LPA was greeted and granted entry by Caregiver, Fernando Guerrero who was informed of the purpose of the visit. Licensee Marcela Hurtado arrived during the visit. The facility has a fire clearance for five (5) ambulatory clients and serves adults ages 18 through 59.

During the visit, there was one (1) client and one (1) staff present and LPA was informed one (1) client was out in the community. LPA toured the facility with Caregiver Guerrero. During the tour, LPA observed the facility is made up of a two (2) story home with four (4) client bedrooms and three (3) bathrooms along with a kitchen, dining room, living room, two (2) staff rooms, and attached garage. LPA toured the kitchen and observed the area to be clean. LPA also observed the facility had a 2-day supply of perishable foods and 7-day of non-perishable food items. Food is stored in a safe and healthful manner. Medications were secured in a closet near the stairway. Client files reviewed had updated Individual Program Plans and signed admission agreements. Client bedrooms were each furnished with a bed, chair and night stand. Bathrooms have a working toilet, wash basin with toilet paper and soap readily available. Staff present have a criminal record clearance and are associated with the facility. Outdoor shaded seating area is available for the clients. There are no bodies of water on the premises. Indoor and outdoor passageways are free of obstruction. LPA observed charged fire extinguishers mounted throughout the facility, which were serviced on 11/20/2023. Caregiver Guerrero tested one (1) of the smoke alarms/carbon monoxide detectors and LPA observed it to be operational.

During today's visit, LPA did not observe any issues or concerns. An exit interview was conducted and this report was reviewed with Licensee over the phone and provided to Licensee Hurtado.

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