Senior Care Records.

Facility Evaluation Report

Peninsula Elderly Care Home - Laurelwood LLC, San Carlos01/09/2025Licence 415601096

Capacity6
Census6
Date signed01/09/2025 04:40:02 PM
The inspector’s account

On 1/9/2025, Licensing Program Analyst(LPA) John Calandra arrived at the facility at 2:31 PM to conduct the Annual 1-year required inspection. LPA Calandra was greeted by Arlene Jonson, Caregiver and explained the purpose of the visit.

LPA toured the physical plant. This is a 1-story building with 6 bedrooms (5 bedrooms for residents and 1 for staff, 7 bathrooms, a dining room, living room, kitchen, and backyard. Hot water temperature was measured within the required 105-120 degrees Fahrenheit. All bedrooms had the required furniture and sufficient lighting. The facility was maintained at a comfortable temperature. The facility had the required 7 days of non perishables and 2 days of perishables on hand. No food was expired.

The Annual will be completed at a later date.

Deficiencies are cited under the California Code of Regulations, Title 22. Failure to correct the deficiencies by the due date may result in civil penalties .

An exit interview was conducted. This report was reviewed with Jennifer Tobias, Administrator and a copy of the report along with Appeal rights left at the facility.

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