Senior Care Records.

Facility Evaluation Report

Crystal's Residential Care Home #2, Tracy01/14/2022Licence 397002761

Capacity6
Census5
Date signed01/21/2022 07:10:40 AM
The inspector’s account

Licensing Program Analyst (LPA) Albert Johnson arrived unannounced to conduct an annual inspection. LPA met with Charles Williams and explained the purpose of the visit.

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 108.5 degrees Fahrenheit in resident bathroom sink, which is within the required range of 105 to 120 degrees.

Fire extinguishers and 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 5 resident and 2 staff files, including criminal record clearances. Fire drill was completed on 12/7/2021.

All staff are Fingerprint cleared and associated to the facility. First aid kit was checked and is complete.

No deficiencies were observed pursuant to Title 22 rules and regulations, Health and Safety Codes.

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