Senior Care Records.

Facility Evaluation Report

Mae West Home Care LLC, Yucaipa08/26/2023Licence 361880928

Capacity4
Census1
Date signed08/26/2023 12:50:20 PM
The inspector’s account

Licensing Program Analyst (LPA) Rayshaun Nickolas visited the facility unannounced to complete a comprehensive annual inspection. LPA Nickolas met with Licensee/Administrator La Nett Adams and explained the purpose of the visit. Today’s inspection included a facility tour, record review, and interviews with the Licensee/Administrator and resident.

The facility is three (3) bedrooms and two (2) bathrooms. The facility also has kitchen/dining area, living area and attached garage. Licensed capacity is six (6).

Physical Plant: There are no obstructions to indoor and outdoor passageways. The facility temperature is 76 degrees Fahrenheit. LPA inspected resident bedrooms; each room included required furniture such as mattresses, nightstands, storage space, and sufficient lighting; bathrooms were clean, and appliances were functional. LPA Nickolas' observed adequate furniture and lighting throughout the facility. The hot water temperature tested within regulation between 107 and 116 degrees. The facility has operating smoke detectors and carbon monoxide alarms, which LPA Nickolas tested during the visit. The facility has one (1) charged fire extinguishers, that is serviced annually. LPA Nickolas observed personal rights posters, Licensing documents, and the disaster plan posted throughout the facility. LPA Nickolas observed that cleaning supplies, toxins, sharps, and other dangerous items are kept secure and inaccessible to residents in care. There was a designated storage space for client/staff files. LPA Nickolas observed medications locked and inaccessible to residents in care. Overall, the facility is clean, in good repair, and operating in safe conditions for residents in care.

Food Service: Non-perishable and perishable food supply is sufficient in number for resident in care. The facility has a variety of food available for the resident in care. Dishes, cups, and utensils were also appropriately stored.

Care & Supervision : The facility staff is sufficient in number for the care and supervision of residents in care. All staff members working in the facility have criminal record clearance through the department.

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