Facility Evaluation Report

A Home 4 Wayne, INC. 2, San Jacinto04/26/2023Licence 331881036

Capacity4
Census2
Date signed04/26/2023 05:11:37 PM
The inspector’s account

On 4/26/2023, Licensing Program Analyst (LPA) Chinwe Nwogene arrived unannounced at the facility to conduct an annual inspection. LPA Nwogene was greeted and granted entry by caregiver, Patrick Watson who was informed of the purpose of visit. At the time of visit there was two #2 staff and two #2 residents present. LPA toured the facility inside and out with Patrick Watson.

Kitchen; LPA toured the kitchen and observed kitchen to be clean. Food is stored in a safe and healthful manner. Utensils and dishware are sufficient for the approved capacity. The refrigerator and stove are in working order. Sharps are stored in a locked box located in the hallway closet, available only to authorized individuals. 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 -1 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 72 degrees Fahrenheit.

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.

Medications: LPA observed medications were labeled and stored in separate bins inside of a locked hallway closet and are distributed according to physician orders. The first aid kit was complete.

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