Senior Care Records.

Facility Evaluation Report

Country Club Care, Apple Valley03/12/2025Licence 365530286

Capacity6
Census0
Date signed03/12/2025 11:10:20 AM
The inspector’s account

On 03/12/2025, Licensing Program Analyst (LPA) Becky Mann conducted an announced visit to the facility for purpose of Prelicensing evaluation. LPA met with Administrator Rosie Oganesian. An initial application to operate a Residential Care Facility for the Elderly (RCFE) was submitted to the Central Applications Bureau (CAB) on 08/01/2024 for a total capacity of six (6), five (5) Non-ambulatory and one (1) bedridden. LPA observed the following:

Facility has five (5) bedrooms, three (3) bathrooms, living room, dining area and kitchen. There's an attached garage.

Each resident bedrooms accommodate any non-ambulatory resident. All resident bedrooms were furnished with bed, mattress, chair, closet, linens, adequate lighting and an operable smoke detectors.

The three (3) resident/staff bathrooms have a working toilet, wash basin, and shower. LPA verified water temperature was measured between 107 and 118 degrees Fahrenheit.

An adequate supply of dishes, glasses, utensils, pots, and pans were observed. Knives/sharp instruments were secured in a locked drawer. Refrigerator/freezer were in working condition. There is sufficient storage for perishable food. Laundry room with washer and dryer was in the laundry area. Laundry detergents and cleaning supplies were observed in the laundry room in locked cabinets.

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