Senior Care Records.

Facility Evaluation Report

Princess Lodge, Campbell02/22/2024Licence 435200996

Capacity30
Census20
Date signed02/23/2024 10:35:50 AM
The inspector’s account

This is a continuation of the required annual inspection done on 2/14/2024. Licensing Program Analyst (LPA) Maria (Mita) Partoza conducted an unannounced continuation visit for the required annual inspection and met with administrator/house manager (ADM/HM) Randi Cabrera.

Current census during today's visit is 20 residents 1 out of 20 is in rehabilitation, and 19 staff.

LPA observed that the kitchen has a commercial grade gas stove with griddle and range hood. LPA observed that the range hood accumulated grease and grime that could pose imminent danger to persons in care. A used paper towel was observed stuck between the vent hood and the cabinet on the top left side. A used paper towel was placed on the griddle left bottom corner (photos were taken).

Water temperatures for the bathroom and the kitchen was measured and ranges from 105 degrees Fahrenheit to 120 degrees Fahrenheit.

During inspection of the facility, LPA observed that the conference room had an accordion door, behind the accordion door are facility’s decorating supplies (Christmas decors), 2 oxygen tanks, some furniture, and unused wheelchairs. The items in the room obstructed a designated emergency exit door. LPA observed a recliner upon exiting the door from the conference room, which obstructs the access to the walkway.

LPA toured the residents’ and observed that emergency exits from the resident's room are clear from any obstructions, sliding doors are working and door alarms are in good working condition. LPA observed that residents’ rooms and common areas are clean and well maintained. All bathrooms have anti-skid mat and grab bars, sufficient supply of toilet rolls and paper towels. Resident rooms have ample storage, sufficient area for visiting families and clean beddings. Walkways inside the facility is clean and free from obstructions.

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