Senior Care Records.

Facility Evaluation Report

Park Grove, the, San Luis Obispo12/30/2025Licence 405802269

Capacity6
Census2
Date signed12/30/2025 02:16:37 PM
Name of licensing program analystGarrett Haner-Tomasko
Name of licensing program managerKelly Burley
The inspector’s account

At 10:50am, on 12/30/2025, Licensing Program Analyst (LPA) Haner-Tomasko arrived at the facility unannounced to conduct the annual facility inspection. LPA met with Administrators Sisenando Marcos and Susan Claire Marcos, announced who he was and the reason for the visit.

Administrators and LPA conducted a full tour of the facility. This facility is a single story residential home with six resident single occupancy bedrooms. One resident bedroom has a private en suite bathroom, two bedrooms share a "jack and jill" bathroom, and there is one full shared bathroom. There is a living room, dining area, kitchen and office area. A staff bedroom is located off the kitchen and a staff only full bathroom next to the living room. There is a garage with access to laundry machines, hazardous items are locked in cabinets for resident safety. LPA noted that the backyard has ample space and the front yard has seating and shade for residents and visitors. LPA noted fresh fruit and snacks in the kitchen for residents to enjoy. The facility has battery operated smoke detectors in each room that are all working, the carbon monoxide detectors are in the hallways and functioning normally. LPA observed a fire extinguisher in the hsllway that was tagged current and in the green compression range, serviced on 1/13/2025. The facility sprinkler system was tested on 1/10/2025 by Mid-Coast Fire Protection. LPA tested facility hot water at 105*(f), within regulation temperatures 105*-120* (f). LPA observed at least 2 - days of perishable and at least 7 - days of nonperishable foods. LPA noted that the facility is clean and in good repair. Medications, Staff and resident files are locked in the office area. LPA conducted a sample medication audit and reviewed the facilities Centrally Stored Medication Records, finding no violations. LPA conducted a staff and resident file review.

LPA and Administrators conducted a review of the annual care tool modules. There were no deficiencies cited at this time.

Exit interview conducted, report signed, and report provided to the Administrators.

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