Facility Evaluation Report

Licensing Program Analyst (LPA) LaVette Farlow, arrived unannounced at Walnut Senior Home III, to conduct an annual inspections. LPA was greeted by licensee, Gulvarg Kaur. LPA introduced self and stated purpose of the visit. The facility is licensed to house (6) non-ambulatory residents and hospice waiver/granted for six (6) residents. LPA toured the facility inside and outside and observed the following:

Physical Plant: Facility is a one story house with (4) resident bedrooms, (2) resident bathrooms, office/staff room, living room, dining area, kitchen, pantry, backyard, and attached garage. LPA observed the facility's temperatures to be comfortable and measured at 75 degrees Fahrenheit. LPA observed the hot water temperature in the kitchen, common area bathrooms and residents bathrooms. The water temperature in the residents bathroom and common area bathrooms measured at 108.5, and 108, which is within regulations. LPA observed bathrooms and found that showers and toilets are operable. Each bathroom contained adequate amounts of hand hygiene and paper products. LPA observed that linens and hygiene items are enough for residents in care. Each resident room included lamps, night-lights dresser drawers, bedding and chairs and appropriate lighting to ensure residents comfort and safety. The facility is equipped with smoke alarms and carbon monoxide detectors. The facility maintains and conducts fire drills and earthquake drills quarterly. Last drill completed in 3/2025. No abnormal notes (LIC809C Continued)