Senior Care Records.

Facility Evaluation Report

Carmelina's Home, South San Francisco02/10/2025Licence 419210054

Capacity3
Census3
Date signed02/10/2025 04:37:30 PM
The inspector’s account

On 2/10/2025, LPA Grace Donato made an unannounced annual visit to the facility. LPA met with Administrator Jessica Paule & Lead Staff Eliodoro Pena and LPA explained the purpose of the visit

LPA toured the facility inside and outside including all of resident rooms, garage, and kitchen area. LPA observed one resident in the facility. While touring the facility it was observed that the room temperature was at 69 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. Rooms have alarms on the windows and exit door. 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 quarterly.

Three resident records and three staff records were reviewed. Centrally stored medication was locked and inaccessible by residents. All medication was labeled and sorted by resident name. All medication logs are complete and updated.

LPA received the following documents: LIC500, Staff Schedule & Administrator Certificate. Facility will email copy of Control of Property.

No deficiencies cited today. Report is reviewed and copy is provided.

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