Senior Care Records.

Facility Evaluation Report

Miracle Lane House, Fairfield05/15/2024Licence 486801750

Capacity6
Census4
Date signed05/16/2024 08:17:39 AM
The inspector’s account

Licensing Program Analyst (LPA) Jill Nakagawa arrived unannounced to conduct a Required - 1 Year inspection and met with Marissa Gueco, House Manager/Administrator.

LPA toured the facility and observed all exits were unobstructed. The facility was clean, well-organized and found to be at a comfortable temperature.

Fire extinguisher was charged and serviced 05/01/2024. Carbon monoxide detector and smoke detectors are tested monthly, with the last test on 5/10/2024. Smoke detector was tested and observed operational. LPA observed a supply of PPE, linens (bedding, towels, etc.). Disinfectants/cleaning solutions (observed locked). Client bedrooms were furnished per regulation. Facility food supply was within regulation. Medication was centrally stored and locked in kitchen. Sharps and cleaning supplies locked beneath kitchen sink. LPA reviewed staff and client records. Staff have current training certifications in First Aid & Cardiopulmonary Resuscitation (CPR) in file. Client's records are up-to-date. P&I cash resources for clients were locked and not commingled. Water temperature was tested and was within regulation of 105-120 degrees F.

LPA observed all required postings, including Administrators' Certificates for Elpidio and Ligaya Punzalan, which are in effect until 02/01/2025.

Exit interview conducted with House Manager/Administrator, whose signature on this document confirms receipt. ***No deficiencies cited during this inspection

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