Senior Care Records.

Facility Evaluation Report

Double J'S, Hesperia10/17/2024Licence 366400088

Capacity6
Census0
Date signed10/17/2024 02:03:36 PM
The inspector’s account

Licensing Program Analysts (LPAs) Magda Malcore and Renese Howell-Small made an unannounced visit to the facility to conduct a required annual inspection. LPAs met with Licensee, Janice Goodrich and discussed the purpose of the visit. The facility is an Adult Residential facility with a license capacity of (6) and a current census (0). The Licensee stated that there has not been clients since September 2024. The facility is a certified Inland Regional Center (IRC) vendor. LPAs conducted an overall inspection, which included, but was not limited to, the following:

Operation/Physical Plant: The facility is operating in the capacity approved by Community Care Licensing. Indoor and outdoor passageways were kept free of obstruction. The facility has no swimming pools or similar bodies of water. The facility has sufficient indoor and outdoor activity space. Outdoor activity space is shaded and enclosed with a latching gate. The facility is equipped with operating carbon monoxide alarms, laundry equipment, night lights and telephone service. The facility has a sufficient supply of bed linen, towels, and hygiene products for clients. Client bedrooms were equipped with beds, bed linen, nightstands, chairs, and bedroom lighting. Client bathrooms were operating in safe conditions. The hot water in client bathrooms tested at 110 degrees F. The facility has posted: Community Care Licensing complaint poster, emergency telephone numbers, facility sketch. The Licensee's administrator certification is current. The facility's liability insurance is current.

Food Service: The kitchen area was maintained clean. The facility has a sufficient supply of non-perishable and perishable food.

Health Related Services: The facility currently has no clients in care. LPA's observed a locked cabinet which will be used to store client medications.

Personnel/Client Records: There are no clients in care and no staff to conduct a file review.

No deficiencies were cited during today’s visit. An exit interview was conducted, where this report was discussed and a copy was provided to the Licensee at the conclusion of the visit.

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