Senior Care Records.

Facility Evaluation Report

Zion Adult Residential Facility 2, Victorville06/21/2022Licence 365530015

Capacity4
Census0
Date signed06/21/2022 12:42:38 PM
The inspector’s account

Licensing Program Analyst (LPA) Bernadette Allen conducted an announced visit to the facility for purpose of a Pre-Licensing evaluation. I met with Administrator Constance Odudui. An initial application to operate an Adult Residential Care facility (ARF) was submitted to the Central Applications Bureau (CAB) on 4/1/2022 for a total capacity of four (4)) ambulatory clients . The fire clearance was granted on 4/27/2022.

At 9:23 LPA Allen was granted entry and observed the following:

Facility was a single house with four(4) resident bedrooms, two(2) resident bathrooms, living room, dining area and kitchen. There was an attached two car garage in the front of the house.

Central heating and air conditioning system installed with a central panel located in the hallway.

Resident bedroom #1, #2, #3 and # 4 will accommodate ambulatory residents, The master bedroom is furnished with bed, chair, closet, appropriate linens, adequate lighting with smoke detector

Bedrooms 2,3 & 4 need chairs which have been ordered with delivery date of July 1, 2022.

The bathrooms have a working toilet, wash basin, and shower with an adequate supply of paper towels, toilet paper, and soap. LPA tested the water temperatures in the Master bathroom that measured at 108.1 degrees Fahrenheit.

An adequate supply of dishes, glasses, utensils, pots and pans were observed. Knives/sharp instruments were secured in a locked hallway closet located near the kitchen. There was adequate room for food and storage. LPA observed the stove to be operational. Refrigerator/freezer were in working condition but there was not enough perishables and non-perishable food items at the time of LPA visit. There was adequate seating for meals for all clients.

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