Senior Care Records.

Facility Evaluation Report

Mayflower House, Victorville05/30/2023Licence 365530077

Capacity6
Census0
Date signed05/30/2023 10:52:34 AM
The inspector’s account

Licensing Program Analysts (LPAs) Ryan Gardner and Mary Rico conducted an announced visit to complete the Pre-licensing inspection. LPAs met with Licensee Dr. Kenneth Jones Jr for an Adult Residential Facility for six (6) ambulatory clients. The fire clearance was approved on 12/16/2022.

The facility is a four (4) bedroom, four (4) bath home. There are three (3) client bedrooms, one (1) staff bedroom, one (1) staff office, kitchen/dining area, two (2) living room areas, a locked laundry room, backyard, and attached garage. LPAs toured the interior and exterior areas of the facility. The following were inspected:

Client Bedrooms : All bedrooms have the required bedding and furniture, such as, clean mattresses/linen, nightstands, dressers, chairs, and lighting.

Client Bathrooms : The bathroom appliances were operating in safe and sanitary condition. The water temperature was measured by LPA, the thermometer read at 118 degrees F.

Kitchen and Dining Areas : Utensils and dishware are in good repair and ready for client use. Kitchen appliances and counter top were free of debris and in good repair. The refrigerator was measured at 45 degrees F and the freezer was measured at 0 degrees F.

Staff Office: The knives, sharps, and medications were safely locked and secured.

Common Sitting Areas : There is adequate seating in the common areas. The facility has a supply of activities for the clients.

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