Senior Care Records.

Facility Evaluation Report

Delta Residential Home, Moreno Valley06/22/2022Licence 336403222

Capacity6
Census3
Date signed06/22/2022 04:41:24 PM
The inspector’s account

On 10/28/2021 LPA Torres issued citations to Licensee, Mary Martin, in relation to complaint #18-AS-20200127153314. No plans of correction (POCs) were received from Martin as of this date, so a POC visit was conducted.

The LPA observed the two (2) holes in the client bedroom closet to be repaired. The LPA observed the torn lamp shade to be removed and replaced with another light, the missing night stand handles to be replaced, the dresser drawer, which wouldn't close, was fixed, the flickering light was removed, and the broken blinds to be replaced with curtains.

The LPA has yet to receive any request for an ambulatory change from Licensee, Mamie Mary Martin. During the visit the LPA contacted Ms. Martin, though was unable to reach her. Staff available at time of visit could provide no information regarding the request. A citation and civil penalty will be issued due to this POC not being cleared by the Licensee.

An exit interview was conducted with Grady; this report was reviewed and a copy provided, along with LIC 811 and Appeal Rights.

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