Senior Care Records.

Facility Evaluation Report

David Ardoin 2, San Francisco11/08/2024Licence 380540323

Capacity6
Census1
Date signed11/08/2024 04:25:04 PM
The inspector’s account

On 11/08/2024, Licensing Program Analyst (LPA) Yi Sam Jian conducted an unannounced annual inspection. LPA met with staff member, Ramon Barajas and Administrator, David Ardoin , joined later of the day. LPA explained the purpose of the visit.

Renovations to the garage, laundry room and bathroom is observed in the lower level. There is also construction taking place in the upper level consisted of living room, dining room, kitchen, 1 bathroom, and 1 bedroom for client.

Backyard was fenced, secured, and in good condition. All outdoor and indoor passageway were free and clear of obstruction. No accessible bodies of water or fire safety hazards observed.

Kitchen was inspected, sufficient supply of food observed. Infection control practices reviewed. Medications, toxins and sharps stored appropriately and inaccessible to clients, a comfortable temperature was maintained, hot water temperature inspected to be compliant, furnishing and lighting was sufficient for comfort and safety.

Carbon monoxide detector and smoke detector system inspected and met the requirements. fire extinguisher checked and fully charged. Facility has a written emergency disaster plan. Licensee has at least one completed first aid kit located in the kitchen.

Criminal record clearances or exemptions for facility staff or other individuals who have client contact have been reviewed.

No Deficiencies cited. This report is reviewed and discussed with the Administrator; a copy is provided.

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