Senior Care Records.

Facility Evaluation Report

Samson Home Care II, Vacaville04/03/2023Licence 486801797

Capacity6
Census4
Date signed04/03/2023 02:28:42 PM
The inspector’s account

Licensing Program Analyst (LPA) Jill Nakagawa arrived unannounced to conduct a Case Management inspection. LPA was met by on-call staff (S1), who was here with one resident. There are currently 4 residing in this facility. The other 3 residents were at Day Program. The Co-Administrator, Evelyn Samson, arrived shortly.

LPA toured the facility with S1 and found the facility to be clean and comfortable.

This facility is a single-story home with 6 bedrooms: 2 bedroom for staff and 4 bedroom for clients. There is also a storage building out in the back, where miscellaneous items were properly locked and stored. Facility showed LPA monthly room/medication/smoke detector logs.

At the time of inspection there were no deficiencies found. No citations issued

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