Senior Care Records.

Facility Evaluation Report

KP Disability Service, Lemon Grove08/16/2022Licence 374603681

Capacity6
Census6
Date signed08/16/2022 03:44:00 PM
The inspector’s account

Licensing Program Analyst (LPA) Kayla Hilario, conducted an unannounced Required 1 - Year Visit. The facility file was reviewed prior to the visit. LPA identified herself, disclosed the purpose of the visit, and met with Caregiver Ismerai Flores Dominguez. All staff present had a current criminal record clearance. Administrator Kim Pollard arrived during the visit.

LPA conducted a tour of the facility, both inside and outside and observed the clients in care. In accordance with the Department’s Infection Control, LPA provided technical assistance, evaluated, and observed the facility's implementation of their mitigation plan to include disinfection, testing surveillance, and screening protocols as well as the use of personal protective equipment.

No deficiencies were cited or observed on this date.

An exit interview was conducted with Administrator Kim Pollard. A copy of this report and appeal rights (LIC9058 03/22), were provided via hardcopy at the conclusion of the visit.

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