Senior Care Records.

Facility Evaluation Report

Monument Park Home, INC, Perris05/03/2023Licence 331881291

Capacity5
Census0
Date signed05/03/2023 02:40:31 PM
The inspector’s account

On 05/03/2023, Licensing Program Analyst (LPA) Chinwe Nwogene arrived unannounced at the facility to conduct an annual inspection. LPA Nwogene met with Licensee’s son, Johnpaul Navarro who was informed the purpose of the visit. At the time of visit there was 0 staff and 0 residents present. LPA spoke to Licensee, Xavier Navarro via telephone call, Xavier stated facility has not had any client since license was obtained. LPA toured the facility inside and out with Johnpaul Navarro.

Kitchen; LPA toured the kitchen and observed kitchen to be clean. Utensils and dishware are sufficient for the approved capacity. The refrigerator and stove are in working order. Sharps are stored in a locked kitchen cabinet under the sink, available only to authorized individuals. Trash cans has tight-fitting lids. Dishwasher is to be used to clean and sanitize dishes. All need appliances were present and shown to be in working condition and clean. The fridge was measured at 40 degrees Fahrenheit and Freezer was measures at 0 degrees Fahrenheit.

Dining and Livingroom; LPA toured the dinning and Livingroom area. LPA observed area to be clean and furnitures in good condition. Temperature was 66 degrees Fahrenheit which is below regulatory requirement. Citation will be issued.

Hallway; LPA toured the hallway and observed hallway to be clean with no pathway obstruction. LPA inspected the fire extinguisher and found it to be in compliance and record to be up to date. Carbon monoxide & smoke detector were tested and functioning properly. LPA observed additional linens and hygiene items.

Medication; LPA observed a locked medication cabinet located in the Nook. The first aid kit was complete.

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