Senior Care Records.

Facility Evaluation Report

Tennessee Care LLC, Vallejo10/21/2022Licence 486803980

Capacity6
Census3
Date signed10/21/2022 01:48:16 PM
The inspector’s account

On 10/21/2022 Licensing Program Analyst, LPA Tobola conducted an unannounced Case Management visit for the purpose of inspecting facility after decreased change of capacity. Facility was previously licensed for 6 residents, 3 of which may be non-ambulatory. With the updated request the facility capacity would reflect as 4 residents, 4 of which may be non-ambulatory.

LPA conducted a walkthrough of the facility and all resident bedrooms. This facility has been approved and licensed for 4 residents that may be non-ambulatory, and no approval for bedridden. A new license to reflect the changes will be sent to the facility.

LPA received updated copy of facility sketch indicating changes.

No deficiencies cited during today's visit.

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