Senior Care Records.

Facility Evaluation Report

Hansen Residential Care, Upland11/30/2021Licence 361881267

Capacity4; 4
Census0
Date signed11/30/2021 10:20:18 AM
The inspector’s account

Licensing Program Analyst (LPA) Javier Prieto arrived to the facility for an announced pre licensing inspection. LPA Prieto met with administrator Clark and toured facility. During time of inspection, the home was not prepared a pre licensing inspection physically and no facility documentation was present. LPA Prieto stated to Ms Clark that once the home is clean, cleared of debris, water pressure and temperature are adjusted, as well as the home being fully furnished, Clark may phone LPA to arrange to a pre licensing inspection. LPA Prieto informed Ms Clark that a COMP III inspection will be conducted during second visit. This report was signed by both Ms Clark and LPA Prieto and a copy was left at the facility.

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