Senior Care Records.

Facility Evaluation Report

Ann's Care Home, Vallejo04/08/2025Licence 486801821

Capacity5
Census0
Date signed04/08/2025 02:27:23 PM
Name of licensing program analystElias Magdaleno
Name of licensing program managerVictoria Bertozzi
The inspector’s account

At approximately 12:40 PM, Licensing Program Analysts (LPAs) Magdaleno and Cuadra arrived unannounced to conduct a required 1-year annual inspection and were greeted by Administrator Debra Best. Facility is a Residential Care Facility for the Elderly (RCFE) with zero (0) residents in care. Facility has a Dementia Care Plan, a Hospice waiver for two (2), with zero(0) Hospice residents currently in care and is approved for all non-ambulatory residents.

At approximately 1:00 PM, LPAs initiated a tour of the facility with Administrator and observed the following: Facility is a one (1) story home, was a comfortable temperature, and passageways were free from obstructions. Fire extinguishers were last inspected 11/24. Smoke and Carbon Monoxide detectors were tested and operational during inspection. Water temperature measured between 106.2 and 110.1 degrees F, which is within the allowable range of 105 to 120 degrees F per Title 22 regulations. LPAs observed a supply of clean linens, hygiene, incontinent care, and paper products available for residents. Residents' bedrooms were inspected and observed to be move in ready with all the appropriate furnishings as outlined in Title 22 regulations. Cabinets containing cleaning supplies and other items that could pose a risk were locked.

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