Senior Care Records.

Facility Evaluation Report

Campbell Village, Campbell10/18/2024Licence 435294224

Capacity90
Census66
Date signed10/18/2024 03:17:00 PM
The inspector’s account

Licensing Program Analyst (LPA) Marcella Tarin and Licensing Program Manager (LPM) Jackie Jin conducted a case management to follow up on deficiencies that were cited on 10/10/2024. LPA and LPM met with Administrator (ADM) Geralyn De Ocampo.

LPA and LPM observed all egress doors to be alarmed and functioning when tested. LPA and LPM toured 4 resident bedrooms. 3 out of 4 resident bedroom sliding glass doors were observed to be free of obstruction. 1 out of 4 resident bedroom sliding glass doors was observed to have a locking mechanism preventing the sliding glass door from opening. Maintenance staff unlocked the locking mechanism and the sliding glass door was opened. LPA And LPM advised ADM to create a log to check on resident's sliding glass doors and ensure they are not locked and free from obstruction.

LPA Tarin cleared the deficiencies cited on 10/10/2024 during today's visit. A Letter of Deficiency Citations Cleared was printed and provided to ADM during today's visit.

No deficiencies were cited during todays visit. A copy of this report was provided to ADM Geralyn De Ocampo.

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