Senior Care Records.

Facility Evaluation Report

Mirabel Lodge, Forestville03/28/2023Licence 496804122

Capacity34
Census31
Date signed03/28/2023 11:05:11 AM
The inspector’s account

Licensing Program Analyst Cuadra arrived announced to conduct a Pre-licensing Continuation Facility Inspection and met with Applicant/Administrator Alex Varshavsky. A pre-licensing inspection was completed on 03/13/2023.

During today’s visit LPA observed the following items:

· Exits were observed free from obstructions, Rooms# 2,4 and 6 were unobstructed as stated per regulation.

· Installed auditory alarms were tested and found operational.

Applicant has satisfied all requirements in accordance with Title 22, California Code of Regulation. However, On 1/13/23 current Applicant/Administrator was informed and confirmed understanding that the current non-compliance plan for facility Mirabel Lodge #496800941 will be transferred to the new license issued which will expire on 7/28/2023 only if the facility maintains substantial compliance until this date. LPA will notify Application Unit Pre-licensing inspection is complete to proceed with the process of license. Pre-Licensing deficiencies have been resolved. Pre-Licensing is now complete.

No deficiencies cited at today’s inspection.

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