Senior Care Records.

Facility Evaluation Report

E.x.c.e.l House, the, Perris02/07/2024Licence 331880556

Capacity4
Census4
Date signed02/07/2024 03:42:03 PM
The inspector’s account

On 2/7/2024, Licensing Program Analyst (LPA) Janette Romero conducted an unannounced visit to the facility for an annual required inspection. LPA met with Support Staff, Ellen Walls who was informed of the purpose of the visit. Administrator Latasha Stokes was contacted over the phone and informed of LPA's visit. Administrator Stokes was unavailable to meet LPA at the facility.

The facility has a fire clearance for four (4) ambulatory clients and serves adults ages 18 through 59. LPA toured the facility's interior and exterior and conducted staff and resident interviews. LPA observed the home to be extremely clean. Staff present have a criminal record clearance on file and are associated with the facility. LPA toured the kitchen and observed food is stored in a safe and healthful manner. The facility has more than a 2-day supply of perishable food and 7-day supply of non-perishable food items. LPA observed emergency food, water, and additional cleaning supplies stored in the garage. The smoke alarm/carbon monoxide detector was not tested due to Client 1's hypersensitivity. LPA observed charged fire extinguishers mounted throughout the facility. During LPA's visit, clients' medication refills were delivered to the facility and Support Staff Walls was cross-referencing the medication with each of the clients' Medication Administration Record to verify all refills were delivered.

During today's visit, LPA did not observe any issues or concerns. An exit interview was conducted where a copy of this report was reviewed and provided to Support Staff Walls.

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