Senior Care Records.

Facility Evaluation Report

Pals-la Jolla Place Home, Carpinteria04/14/2025Licence 425850428

Capacity4
Census0
Date signed04/14/2025 09:18:51 AM
Name of licensing program analystMark Jeffries
Name of licensing program managerKelly Burley
The inspector’s account

At 7:30am on 04/14/2025, Licensing Program Analyst (LPA) Jeffries arrived unannounced to the facility to conduct the facility's first annual inspection. LPA noted that there was no answer at the door. LPA called Administrator and Program Director as was informed LPA that no clients have resided in the facility since pre-licensing on 04/11/2024. At 8:30am Administrator, Arnold Hernandez arrived to the facility.

At 9:10am Administrator and LPA conducted a full facility tour. This facility has 4 bedrooms, and 2 bathrooms, two living rooms, kitchen and dining room. The back yard had a table chairs and pergola for shade. All bedrooms are set up to regulation standards. LPA noted that there are smoke detectors throughout the facility that are hard wired and a carbon monoxide detector all functioning normal. LPA observed a fire extinguishers primed in the green. LPA noted that there is a full 1st aide kit per regulations located in the kitchen closet. Medications will be locked and secured in a medication cart in the staff office. LPA noted that all exits and passageways are free and clear of obstacles and debris. LPA noted that the home is in brand new condition and no violations were observed during the annual physical facility tour.

Administrator and LPA conducted a full review of annual care tools. LPA noted that no client files due to no clients. LPA reviewed Administrator Certificate and current staff associations. LPA advised Administrator to contact LPA when first client arrived to facility and update facility house phone number. At this time there are no violations as a result of this annual facility inspection.

Exit interview, report read, and report provided.

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