Senior Care Records.

Facility Evaluation Report

Javier's Guest Home, Stockton11/08/2023Licence 397000457

Capacity6
Census6
Date signed11/08/2023 02:56:45 PM
The inspector’s account

On 11-8-23 at 2:15pm, Licensing Program Analyst (LPA) Michael Bilger arrived unannounced to conduct a plan of correction (POC) visit. LPA met with Administrator Shalimar Goulding and explained the purpose of the visit.

On 10/23/23 the Licensee was cited for California Code of Regulations (CCR) 80087(a). A plan of correction was due as follows by 10/31/23: Licensee will secure a pest control agreement to include rodent control. Licensee to submit a copy of pest control agreement to LPA by POC due date. During today's visit, Administrator produced a copy of proof of pest control agreement submitted to LPA on 10-27-23. During today's visit, LPA during verified email sent by Administrator to LPA on 10-27-23 containing pest control agreement.

No citations issued today. An exit interview was conducted with Shalimar Goulding and a copy of this report was reported to Shalimar.

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