Senior Care Records.

Facility Evaluation Report

Momentum Work, INC. Marsala, Santa Maria01/16/2025Licence 425802113

Capacity4
Census4
Date signed01/16/2025 02:03:13 PM
The inspector’s account

Licensing Program Analyst (LPA) Erika Miller arrived unannounced to conduct a one year required annual inspection. LPA met with Administrator and explained the reason for the visit.

LPA toured the physical plant areas inside and outside to ensure there are no health and safety hazards and facility is in compliance with Title 22 Regulations.

Kitchen: The facility has a sufficient supply of non-perishable and perishable food items. Cleaning supplies and disinfectants are stored and locked in a cabinet in the garage and laundry room, inaccessible to clients. Knives are stored in a locked drawer in the kitchen.

Common areas: Living and dining room furniture were observed to be in good condition. The carbon monoxide detector and smoke detector were tested and operational at the time of the visit. LPA observed required postings throughout the common space. The fire extinguishers were charged and serviced 1/3/2025.

The backyard has an umbrella for shade and is equipped with furniture for client use. No bodies of water noted. The washer and dryer are in the laundry room. The laundry room is locked.

Restrooms: The client restrooms were clean and sanitary and in operating condition. The bathrooms were sufficiently stocked with soap and paper towels.

Bedrooms: There are four (4) client rooms, which were furnished with appropriate linens and required furniture. A linen closet was located outside of the rooms, which stocked extra linens and towels.

Records: LPA reviewed four (4) client files for, but not limited to, the following: signed admission agreements, current medical assessments with TB results, and needs and services plan. The last disaster drill was conducted on 1/3/25.

Medications : M edications are centrally stored and locked in a closet in the hallway. Medications are labeled and checked for expiration dates.

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