Senior Care Records.

Facility Evaluation Report

Holy Haven 1, Suisun City10/22/2024Licence 486803978

Capacity5
Census4
Date signed10/22/2024 03:33:32 PM
The inspector’s account

On 10/22/2024, Licensing Program Analyst (LPA) Jill Nakagawa, arrived at the facility unannounced to conduct a 1-Year Required Annual Inspection. LPA met with Facility Administrator, Leslie Ann Enriquez (changing name from Pascua), Administrator Certificate # 6056105735, and explained the purpose of the visit.

LPA Nakagawa and Administrator toured facility together to ensure health and safety of residents in care. Areas toured include but are not limited to: common areas, resident bedrooms, and common restrooms. LPA observed the facility to be clean, in good repair and odor-free. Each bathroom to have the necessary grab bars, non-skid flooring, paper towels, soap and trash can. LPA observed each bedroom to have the necessary furnishings with working lights and windows with screens.

Facility has a 2-day perishable and a 7-day non-perishable amount of food and sharps to be locked. Hot water temperature was measured at 110 degrees F, within the required range. LPA observed two (2) fire extinguishers last serviced on 10/22/2024 and fully charged, smoke detectors, and carbon monoxide detectors checked and functioning throughout the facility. Last fire drill conducted on 08/31/2024. LPA observed the first aid kit to be complete and ready for use.

In the areas toured no immediate health, safety, or personal rights violations were observed. Several topics were discussed.

LPA reviewed a total of four (4) resident files and (4) three (3) staff files which contained all the required documentation.

No deficiencies are being cited as a result of today’s inspection.

Exit interview conducted and copy of report left at the facility.

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