Senior Care Records.

Facility Evaluation Report

Carmelina's Home, South San Francisco02/02/2024Licence 419210054

Capacity3
Census3
Date signed02/15/2024 08:01:02 AM
The inspector’s account

On 2/2/2024, LPA Grace Donato made an unannounced annual visit to the facility. LPA met with Administrator Aldrin Eliseo, House Manager Mike Penas, and Direct Care Staff Jessica Paule.

LPA toured the facility inside and outside including all of resident rooms, garage, and kitchen area. No residents are in the facility. Residents are in the Adult Day Program and van ride. While touring the facility it was observed that the room temperature was at 63 deg F. Hot water was also tested in the bathrooms and the temperature was 112 deg F. The facility is observed to be clean, odorless, and well maintained. Residents bedrooms were observed to be well organized and fully furnished with adequate lighting. Sharps and toxic materials were observed locked and inaccessible to residents. Food supply in kitchen was observed with an adequate two day perishable and seven day non-perishable food supply. Carbon monoxide/ smoke detectors, and fire extinguisher were present throughout the facility. Facility has an updated log for emergency drill will is done every month.

Three resident records and three staff records were reviewed. Resident’s PNI money was counted and all accounted for. Staff have criminal record and fingerprint clearances on file. Staff have current First Aid/CPR certifications on file. Resident records were reviewed and were observed to be complete.

Centrally stored medication was locked. All medication was labeled and sorted by resident name. All medication logs are complete and updated.

No deficiencies are cited at this time. Report is reviewed and a copy is provided.

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