Senior Care Records.

Facility Evaluation Report

Da Vinci House, Stockton08/14/2024Licence 392701273

Capacity4
Census3
Date signed08/14/2024 03:29:53 PM
The inspector’s account

On 8-14-24 at 1:30pm, Licensing Program Analyst (LPA) Michael Bilger arrived unannounced to conduct a health and safety case management visit. LPA met with lead staff Danielle Carpenter (S1) and explained the purpose of the visit. Administrator Jamesha Boyd (S2) was made aware of LPAs visit and purpose and arrived at 2:20pm. Administrator departed at approximately 3:00pm due to a prior commitment.

LPA conducted brief interviews with S1, S2 and resident1 (R1). R1 moved into facility on 8-5-24 and is currently adjusting well overall to her new environment. It was determined today through interviews that R1 experienced a fall on 8-11-24 which resulted in damage to her cell phone. At this time, facility is assisting R1 with obtaining a new phone. R1 is currently on a 3-week respite and is in process of beginning a new day program attendance with assistance from facility staff.

LPA also toured facility grounds including common areas, kitchen area, client bedrooms, bathrooms, and outside of facility to ensure compliance with Title 22 regulations. Facility has 3 bedrooms and 2 bathrooms for client use. Two staff members were on duty and facility's current census is 3. Facility is maintaining adequate food supply at this time. Facility was observed to be clean and sanitary and contain all required furniture and furnishings throughout. Facility is maintaining a comfortable temperature of 70*F.

No citations issued as a result of today's case management. An exit interview was conducted with S1 and a copy of this report was provided to S1.

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