Senior Care Records.

Facility Evaluation Report

Holly Land Care Home, Ontario09/11/2024Licence 366427078

Capacity6
Census4
Date signed09/11/2024 12:45:39 PM
The inspector’s account

On 09/11/2024 at 09:00 AM, Licensing Program Analysts (LPAs) Melody Brown and Eldin Serrano conducted an unannounced visit to the facility to conduct the required comprehensive annual inspection to the facility. LPAs Brown and Serrano were greeted by a staff and gained access at the home. Administrator Oliver Dineros was contacted and arrived during the visit. LPAs Brown and Serrano explained the purpose of the visit to Administrator Oliver Dineros.

The facility has four (4) bedrooms, two (2) bathrooms, kitchen, dining room, living room, attached garage, and backyard. The facility is vendorized by Inland Regional Center (IRC). The facility are licensed for 6 of which can be non-ambulatory. LPAs Brown and Serrano completed a walkthrough of the facility, review of records, Personal and Incidental (P&I) and medications audit.

Physical Plant: The facility is operating in the capacity approved by Community Care Licensing Division (CCLD), LPAs Brown and Serrano observed two (2) clients but clients left for the scheduled activity for the day during the visit. There are no obstructions to indoor and outdoor passageways. The facility is maintained at a comfortable temperature of 74 degrees Fahrenheit. LPAs Brown and Serrano inspected client bedrooms; they are equipped with required furniture such as: mattresses, nightstands, storage space, chairs, and sufficient lighting. LPAs Brown and Serrano inspected client bathrooms; bathrooms were clean, and appliances were found functional. Water temperatures tested at 110 degrees Fahrenheit. The facility is equipped with operational combined smoke detectors and carbon monoxide detectors, charged fire extinguishers, and first aid kit with first aid book. In addition, during the tour of the facility LPAs observed part of the living room was converted to a staff room. Per records review and staff interview no permit was obtained prior to the alteration made at the facility and CCLD was also not informed of the alteration made. Deficiency will be issued.

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