Senior Care Records.

Facility Evaluation Report

Zack's Home, Foster City11/14/2024Licence 419210029

Capacity4
Census4
Date signed11/14/2024 11:29:55 AM
The inspector’s account

On November 14, 2024 Licensing Program Analyst (LPA) Murial Han conducted an unannounced annual visit. LPA met with Administrator, Maria Navarro and explained the purpose of the visit.

LPA toured the facility inside and outside including all of resident rooms, common areas & kitchen. The indoor and outdoor passageways were free of obstruction. No accessible bodies of water of fire safety hazards observed. Extra linen was observed. One shared room and two private rooms with all required furnishings and bathrooms were observed to be in good repair and odor free.

A comfortable temperature is maintained and lighting is sufficient for comfort. Hot water temperature in the bathrooms and kitchen were measured at 111-115 degrees F.

Sharps, toxins and medication were locked and inaccessible to residents. Smoke detectors and carbon monoxide were observed to be adequate. Fire extinguishers were last inspected on 7/16/2024. 2 days for perishables and 7 days non-perishables were observed. Emergency drills were reviewed. Emergency Disaster supplies are stored in the garage.

A review of (4) resident files was conducted and noted on the LIC 858.

A review of (3) staff files was conducted and noted on the LIC 859.

P & I were reviewed for 4 residents and observed to be adequate.

During the visit, there was no residents present at the facility and according to the administrator, they were all attending the community based activities.

Administrator certificate has expired, however, the renewal process has been completed. Administrator will provide a copy when obtained.

No citations are issued during the visit. LPA reviewed report with Maria Navarro and a copy is provided.

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