Senior Care Records.

Facility Evaluation Report

Magnolia Care Home 1, Stockton07/25/2025Licence 392701190

Capacity6
Census5
Date signed07/25/2025 05:06:19 PM
Name of licensing program analystNoel Wolf Petersen
Name of licensing program managerLiza King
The inspector’s account

Licensing Program Analyst(LPA) Noel Wolf Petersen arrived unannounced to conduct an annual visit on 7/25/2025 at 12:00pm, The LPA asked the staff gertrude to call the administrator so the purpose of the visit could be explained. Magnolia care home 1 is a 6 bed facility for the elderly with 5 residents in the current census. 2 ambulatory, 3 nonambulatory. 1 has dementia. 2 are on hospice. 4 have diabedes(controlled via PO medication).

Physical Plant was inspected, including but not limited to the kitchen, common areas, client bedrooms, client bathrooms, exteriors, and evacuation routes. The facility is clean, and traffic areas are well lit and unobstructed. the kitchen has adequate lockable storage for sharps and toxics, there is 2 days of perishible/7 days of nonperishable foods. MARs for each of the residents were checked; in 1 of 5 records a psychotropic medication(trazadone) was not documented as given when it was for many days this month. The common areas are clean and have enough space for activities. the bathrooms have hardware in good repair, temperature was measured at 118*F. LPA observed hygine related toxics(hand soaps/shampoos/conditioners/hairsprays) within access to ambulatory dementia client. Client is on 1 to 1 supervison, it is unlikely she would use the bathroom by herself, however she does wander at night. The Licensee is going to store the offensive chemicals locked. The exterior screens are in good repair, plenty of space for activies, no tripping hazards. evacuation route gate is in good repair. Fire extinguisher was last checked 5/19/25. Posters in cluding the facility sketch, administrator cirtificate, facility license, federal work requirements, personal rights, and the ombudsman information are all present and of the correct dimension.

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