Senior Care Records.

Facility Evaluation Report

La Selva, Palo Alto01/30/2024Licence 435200383

Capacity12
Census11
Date signed01/30/2024 01:46:24 PM
The inspector’s account

Licensing Program Analyst (LPA) David Marrufo conducted an unannounced Required 1 - Year visit and met with Sajana Sagar, Director of Residential Operations.

During visit, LPA Marrufo toured the facility inside and out. LPA Marrufo toured the kitchen area and food storage areas in the facility basement. LPA observed a perishable food supply of two days and a non-perishable food supply of 7 days. LPA Marrufo observed a complete first aid kit. LPA Marrufo observed locked storage areas for sharp objects and cleaning supplies.

LPA Marrufo 4 out of 4 resident bedrooms and observed there to be working lights and available bedding and clothing storage. The smoke detectors and carbon monoxide detectors in the resident bedrooms and hallways functioned properly when tested.

LPA Marrufo toured three out of three resident bathrooms and observed available soap and paper towels and functioning lights. The water temperature measured at 120 F.

The outdoor area was toured and the exits were clear of obstructions.

LPA Marrufo reviewed resident and staff records, including Centrally Stored Medication Logs, and found them to be complete.

This report was reviewed with Sajana Sagar and a copy of the report was provided.

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