Senior Care Records.

Facility Evaluation Report

Pond Brook Home, INC., Elk Grove03/20/2023Licence 342700914

Capacity4
Census3
Date signed03/20/2023 02:33:13 PM
The inspector’s account

Licensing Program Analysts (LPAs) Vincent Moleski and Jason Lund arrived unannounced for a case management visit regarding a facility action report from Alta California Regional Center (ACRC). LPAs Moleski and Lund met with administrator Orlando Carpio and explained the purpose of the visit.

Carpio said the staffing issue per the facility action report was related to documentation of staff schedules for one-on-one supervision.

LPAs Moleski and Lund reviewed resident files for R1 and R2. LPAs Moleski and Lund reviewed staffing documentation. LPAs Moleski and Lund tested the smoke detectors and observed they were working.

No deficiences were cited during this visit. LPAs Moleski and Lund conducted an exit interview and left a copy of this report with Carpio.

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