Senior Care Records.

Facility Evaluation Report

Haven Care Home LLC, Vallejo02/10/2023Licence 486804040

Capacity5
Census0
Date signed02/10/2023 02:22:01 PM
The inspector’s account

On 2/10/2023, Licensing Program Analyst (LPA) D. Tobola conducted an unannounced Annual Required – 1 yr. Infection Control inspection for this facility and was greeted by Licensee, Armelle Gby. The facility is a one story home with a fire clearance for 5 ambulatory clients. The facility currently has 0 clients in care at the time of visit. Most recent client had moved out of the facility as of 9/30/2022. Licensee is currently vendored under North Bay Regional Center and is working on finding appropriate referrals for additional clients.

LPA continued with a tour of the facility with Licensee; facility was found to be clean and at a comfortable temperature with all exits free from obstruction. Client’s bedrooms, common areas, kitchen & food storage areas were inspected. Fire Extinguisher located in the kitchen was found to be last charged on 1/11/2023 at the time of the visit. Smoke and carbon monoxide detectors were inspected and found to be in working order. There is an ample amount of perishable and non-perishable food supply. Licensee will replenish food once clients are readmitted. LPA conducted a sample file review and found staff to have current CPR and 1st Aid certification on file.

Toxins are stored in a locked cabinet located in the garage and under the kitchen sink found to be secured. There was a supply of hygiene products and paper products available and will be provided to clients when admitted. Facility has restrooms equipped with paper towel and soap dispensers. All client bedrooms have lighting & appropriate furnishings. Medications and facility records are stored in designated cabinets located in client common area and found to be secured.

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