Senior Care Records.

Facility Evaluation Report

Pablo Lane Home, Nipomo08/21/2024Licence 405850036

Capacity4
Census4
Date signed08/21/2024 01:16:45 PM
The inspector’s account

Licensing Program Analyst (LPA) Rankin arrived at 9:50 am to conduct a 1 year annual visit to the facility above. LPA spoke with Program Director (PD) Pamela Holcombe over the phone and explained the purpose of the visit, PD is currently out with covid. A staff member provided LPA with a tour until Administrator Justin Penrod arrived to assist in the annual visit.

A tour of the inside and outside of the facility was conducted. The following was inspected and noted during the annual visit:

Physical Plant & Environmental Safety: The facility is a 4 bedroom and 2-bathroom home currently occupying 4 residents. The facility has dual smoke and carbon monoxide detectors which were working at time of visit. The lighting and lamps in resident rooms are sufficient for the use of the facility and for resident’s comfort. The facility kitchen is clean, safe, and sanitary. The showers have non-skid mats. Toilet, hand washing and bathing facilities are operational. The pathways are clear of any obstructions. Facility is well lit inside for safety, lighting for outside requires new bulbs which will be replaced by the end of the day. Disinfectant, cleaning solutions and poisons are locked in laundry room cupboards. The facility has sufficient space inside and outside for activities and visiting. The facility has a backyard for client use with plenty of shade. The facility has telephone and internet service for resident use. Water temperatures were within regulation requirements. Facility has open floor plan for ease of movement for residents. LPA requested a routine schedule of cleaning be created and implemented to ensure common areas, windows, doors, walls, and floors remain free of dirt build-up and odors.

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