Senior Care Records.

Facility Evaluation Report

Pete's Home, San Mateo05/29/2025Licence 419210058

Capacity3
Census3
Date signed05/29/2025 12:25:10 PM
Name of licensing program analystJaime Vado
Name of licensing program managerApril Cowan
The inspector’s account

On 05/29/2025, Licensing Program Analyst (LPA) Jaime Vado conducted an unannounced required 1 year inspection. LPA met with administrator Lyndon Canon and explained the purpose of today's visit. Currently there are 2 clients present and 3 caregivers, one of which is the administrator, during today's inspection visit.

The facility is licensed for age range of 18 to 59. All are approved to be non-ambulatory. Approved for delayed egress. This is an all male client facility. The facility ambient temperature is comfortable. The required postings are in place observed through out the facility. Water temperature is tested in both common hallway full bathroom tested as 120F. The facility has two full bathrooms and both were tested at 120F. Both are equipped with grab bars and non-skid mats. Shower chair is present in the large walk in shower. Cleaning supplies are observed to be locked in the garage primarily and a few cleaning supplies are locked below the kitchen sink. Facility knives are observed to be locked in a kitchen drawer adjacent to the sink. Facility food supplies are observed to be in place with 2 day fresh food supply and canned goods fulfilling the 7 day emergency food supply. Laundry room is observed to be fully functional. A fire extinguisher is located in this room. A tour of the outside of the facility is conducted. Emergency routes are free and clear of any obstructions based on observations made. Smoke detectors and carbon monoxide detectors are located through out the facility. Facility has fire sprinklers in place through out the facility. Fire alarm pull is observed next to the front door. LPA observed 2 fire extinguishers, one is located in the laundry room, and the other in the kitchen. Both with inspection dates of 05/12/2025. Both are charged and ready for use. Facility conducts emergency drill quarterly. The last drill that was conducted is logged 05/05/2025. Fire panel is observed to be located in the garage. Facility is equipped with full sprinkler system through out. Linens are in place for all residents contained in client rooms and linen closet.

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