Senior Care Records.

Facility Evaluation Report

Goshen Residential Facility, Winchester10/04/2024Licence 335530206

Capacity4
Census0
Date signed10/04/2024 11:40:53 AM
The inspector’s account

On 10/04/2024 at 9:15 AM, Licensing Program Analysts (LPA) Melody Brown and Eldin Serrano conducted an announced visit to the facility for purpose of Prelicensing evaluation. LPAs met with Applicant Tolulope Adedayo and Adegoke Ayeni. An initial application to operate an Adult Residential Facility (ARF) was submitted to the Central Applications Bureau (CAB) on 07/08/2024 for a total capacity of four (4) Ambulatory. Fire clearance was granted on 02/14/2024. LPAs Brown and Serrano observed the following:

Facility was a one (1) story house with four (4) client bedrooms, two (2) bathrooms, living room, dining area and kitchen. There was an attached two (2) car garage in the left side of the house.

Central heating and air conditioning system installed with one (1) central panel located in the hallway to

control entire house. LPAs observed the house temperature of 75 degrees Fahrenheit.

Each client bedrooms accommodate any ambulatory client. All client bedrooms were adequately furnished

with bed, chair, closet, dresser, appropriate linens, adequate lighting, a lamp and an operable smoke/carbon monoxide alarm.

The two (2) bathrooms have a working toilet, wash basin, and shower with an adequate supply of toilet paper and soap. LPAs Brown and Serrano tested the water temperatures in the clients' bathrooms. ***CONTINUED ON LIC 809-C***

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