Senior Care Records.

Facility Evaluation Report

Ed David Care Homes INC. #3, North Highlands04/27/2023Licence 347002402

Capacity6
Census6
Date signed04/27/2023 02:12:57 PM
The inspector’s account

On April 27, 2023, (LPA) De Anna Williams-Lyons made an unannounced visit to conduct facilities required annual inspection. LPA Lyons met with administrator, Grace Woodford, and informed her the reason for the visit. LPA inspected the interior and the exterior of the facility including the common living spaces, resident bedrooms and bathrooms, and kitchen. Bathrooms and bedrooms were clean and in good repair. There is a locked storage for medications and toxins. Food supply is adequate for 2-day perishable and 7-day nonperishable. Smoke alarms were checked and in good working order. Fire drills are conducted as required. LPA observed an adequate amount of linens and found the first aid kit to be complete. Hot water temperature measures at 108 degrees F.

LPA reviewed 3 resident records. Resident files were found to be complete and current.

In the areas that were evaluated, no deficiencies were observed at the time of the visit.

Administrator submitted the following documents to update the Regional Office files on Community Care Licensing

-LIC 500 facility personnel or staff schedule

-LIC 308 designation of administrative responsibility

Exit interview conducted and a copy of this report given to Madelyn

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