Senior Care Records.

Facility Evaluation Report

Familycare Home - Montara, Moreno Valley10/03/2024Licence 336426468

Capacity4
Census4
Date signed02/03/2025 12:28:20 PM
The inspector’s account

On October 03, 2024, Licensing Program Analysts (LPAs), Venus Mixson, and Yolanda Delgado made an unannounced visit to the facility for the purpose of conducting the Required Annual inspection, and met with Administrator, Dexter Ko and introduced themselves and stated the purpose for the visit.

Infection Control: LPAs observed the hand washing stations in the facility restrooms. LPAs observed PPE equipment and cleaning supplies to do regular cleaning of the facility. LPAs reviewed the facility's infection control plan and found all required infection control measures met.

PHYSICAL PLANT : Facility is licensed for four and is operating at 100 % capacity of four which is within the conditions and limitations of the license. Outdoor and indoor passageways are kept free of obstruction. No pool or body of water was observed on the property. According to Administrator, there are no known weapons kept in the home. Disinfectants, cleaning solutions, and poisons were inaccessible to clients in care. Temperature was within in regulations for this time of day and the season. There was sufficient lighting throughout the facility and the Hot water tested within regulations at 107.5 degrees F. Fire extinguisher located in hall area has proper inspection tag and was inspected 09/18/2024. The smoke and carbon monoxide alarms were in the green and last inspected on today and were operable. The interior and exterior areas of the home were observed to be clean and organized.

FOOD SERVICE : There was a variety of food which appeared to be selected and stored in a safe and healthful manner. Food supply of nonperishable and perishable foods was sufficient. The kitchen was observed to be clean. LPAs observed the required two-day supply of perishable and seven-day supply of non-perishable foods.

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