Senior Care Records.

Facility Evaluation Report

Javier's Guest Home, Stockton10/23/2023Licence 397000457

Capacity6
Census6
Date signed10/23/2023 12:10:53 PM
The inspector’s account

On 10-23-23 at 10:25am, Licensing Program Analyst (LPA) Michael Bilger arrived unannounced to conduct a case management visit regarding presence of mice in facility. LPA met with Administrator Shalimar Goulding and explained the purpose of the visit. LPA reviewed incident report dated 10-12-23 and briefly interviewed Administrator. LPA also conducted facility observation. Based on incident report and interview, on 10-11-23, facility received a visit from county behavior health due to a caseworker reporting presence of a mouse. During this visit on 10-11-23, a mouse was witnessed in facility's garage, and brought to facility staff's attention. According to Administrator, facility is still in the process of securing a pest control company to service facility for mice, and general pest control. It was confirmed during today's visit that pest control is not currently in place. Facility observation did not reveal any presence of mice inside or outside facility on 10-23-23.

As a result of today's case management, citation is issued under Title 22, Division 6 and noted on LIC 809D. An exit interview was conducted with Shalimar Goulding and a copy of this report was provided to Shalimar. Appeal rights provided.

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