Senior Care Records.

Facility Evaluation Report

A Residence, Fairfield08/15/2023Licence 486803677

Capacity5
Census4
Date signed08/15/2023 01:59:19 PM
The inspector’s account

Licensing Program Analyst (LPA) Carol Fowler arrived unannounced to conduct an Annual Required 1 Year inspection and met with Administrator Higinia Alvis, Caregiver Alejandra Arciga was present during inspection.

Facility has a fire clearance for five (5) ambulatory clients. All seven (7) smoke alarms were working properly when checked during the inspection; The facility has 2 carbon monoxide detector which were working properly during inspection. Fire extinguisher, was tagged as required expiration date 05/12/2023. All exits were clear and unobstructed.

LPA toured the facility with Administrator. The hot water was checked and within regulations. LPA observed a sufficient supply of food. LPA observed a sufficient supply of cleaners, hygiene products, and paper products. Resident medications are locked up in a cabinet making them inaccessible to clients in care. LPA observed a sufficient supply of linen for client use. The facility has sufficient furnishings for clients use.

During the tour LPA observed the following deficiencies:

Two bedrooms in the garage that are not on the facility sketch.

Staff (S2) is not associated to the facility.

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