Senior Care Records.

Facility Evaluation Report

Green Valley Residential Care Home, Gilroy02/06/2024Licence 435202587

Capacity6
Census6
Date signed02/06/2024 03:51:42 PM
The inspector’s account

Licensing Program Analyst (LPA) Christine Dolores arrived unannounced to conduct the facility's annual required - 1 year inspection. LPA met with Administrator (ADM), Tayebeh Sedigh.

During visit, LPA toured the facility with the ADM to include the the entrance, resident bedrooms, bathrooms, staff room, kitchen, living room, garage, and exterior. All fire exit routes were free and clear of obstruction. Fire extinguisher last serviced on 03/23/2023. LPA observed a carbon monoxide detector located in the hallway.

The facility has a pool that contains a fence that is at least 5 ft high and does not contain water. Facility temperature maintained at 60 degrees and 66 degrees Fahrenheit. There was 1 resident present in the facility. The Administrator turned on the heater and LPA observed the facility temperature maintained at 68 degrees Fahrenheit before end of visit. Fire place observed screened in the living room.

Resident bedrooms observed well maintained. Bedrooms equipped with beds, linens, dressers and adequate lighting. All exit routes were free and clear of obstruction. Bathroom hot water maintained at 118 degrees Fahrenheit. Bathroom supplied with lidded trash bins, paper supplies, and hot water temperature. Shower contains a non-slid mat. Facility has an adequate supply of hygiene products and linens.

The facility has at least 2 days worth of perishables and 7 days worth of non-perishables. Refrigerator temperature maintained at 2 degrees Celsius and freezer temperature maintained at -18 degrees Celsius. Chemicals, disinfectants, and sharp objects observed locked.

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