Senior Care Records.

Facility Evaluation Report

Willow Care Home, Stockton01/28/2023Licence 397000569

Capacity6
Census2
Date signed02/01/2023 09:46:01 AM
The inspector’s account

Licensing Program Analyst (LPA) Albert Johnson arrived unannounced to conduct an Annual inspection. LPA met with Mercedes Rigor explained the purpose of the visit. LPA was later joined by Kathleen Quiaot.

LPA inspected the physical plant including but not limited to the kitchen, dining room, resident bedrooms; resident bathrooms, laundry room, activity room, and outside courtyards. LPA observed sufficient furniture and lighting throughout the facility. LPA observed sufficient seven day non-perishable and two day perishable food supplies. Hot water temperature was measured at 110 degrees Fahrenheit in resident bathroom sink, which is within the required range of 105 to 120 degrees.

Fire extinguishers, Smoke detectors are current and in compliance with fire safety. LPA observed centrally stored medications. LPA reviewed and compared resident medication vs. resident medication logs. LPA reviewed 2 resident and 1 staff files, including criminal record clearances.

Fire drill was completed on 12/2022. All staff are fingerprint cleared and associated to the facility. First aid kit was checked and is complete.

Exit interview conducted and appeal rights given.

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