Senior Care Records.

Facility Evaluation Report

J & H Care Homes, Antelope11/13/2025Licence 345002947

Capacity6
Census6
Date signed11/13/2025 11:32:59 AM
Name of licensing program analystCheyenne Ratajczak
Name of licensing program managerLaura Munoz
The inspector’s account

On 11/13/2025 Licensing Program Analyst (LPA) Cheyenne Ratajczak arrived at the facility unannounced to conduct a required 1 year annual inspection. LPA met with Administrator Rasha Salman and explained the purpose of the visit.

LPA and Administrator conducted a tour of the facility. Areas toured include but not limited resident bedrooms, bathrooms, kitchen, common areas, and storage area. LPA observed required furniture, and lighting throughout the residents' bedrooms and facility. LPA observed food supplies of non-perishables for a minimum of seven (7) days and perishable foods for a minimum of two (2) days. Toxins and cleaning supplies are locked and inaccessible to residents in care. LPA observed fire detectors and carbon monoxide detectors to be operable. LPA observed the fire extinguisher, located in hallway, which was last inspected on 08/21/2025. LPA reviewed drill logs, which are conducted quarterly. LPA observed required Licensing posters posted throughout the facility. First aid kit completed. Medications are centrally stored, locked, and appear to be given per doctor order. LPA compared medications to those being given for two (2) residents. Facility is correctly using the Medication Administration Records (MAR)

LPA reviewed six (6) resident files which contained all required documents. LPA reviewed two (2) staff records. A review of staff records indicates that all facility staff has received criminal record clearances and/or are associated to this facility.

No deficiencies are being cited during today's inspection.

Exit interview conducted and copy of the report was left at the facility.

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