Senior Care Records.

Facility Evaluation Report

Fhar - Acacia Avenue Home, San Bruno05/22/2024Licence 410508909

Capacity6
Census6
Date signed05/22/2024 05:07:04 PM
The inspector’s account

On May 22, 2024 Licensing Program Analyst (LPA) Murial Han conducted an unannounced annual inspection. LPA met with house manager, Harry Smith and explained the purpose of the visit. The administrator, Phil Surdel arrived shortly thereafter and assisted with the rest of the inspection.

LPA toured the facility inside out and inspected the living room, dining area, kitchen, bedrooms, bathrooms, and backyard. The indoor and outdoor passageways were free of obstruction.

This is a two story facility. The main entrance is on the top floor which includes one shared resident bedroom with a full bathroom, one private room and one community full bathroom. The lower level has a living room, the laundry room, three private rooms and one full bathroom. .

LPA observed furniture and furnishings were observed to be sufficient. Food supplies were sufficient of 2- days perishables and 7- days of non-perishables. Toilet, hand washing and bathing areas were observed clean and in operating condition. Showers were observed equipped with non-skid mats and grab bars. Facility exits are equipped with audible alarms. Comfortable temperature is maintained and lighting is sufficient for comfort

Bed sheets, linens, and towels were observed to be sufficient and able to meet the needs of the residents at this time.

Central storage for medications, sharps and chemicals were observed to be locked and inaccessible to residents in care.

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