Senior Care Records.

Facility Evaluation Report

Green Acres Manor, Kenwood03/05/2026Licence 496801812

Capacity16
Census11
Date signed03/05/2026 05:30:46 PM
Name of licensing program analystChristi Coppo
Name of licensing program managerVictoria Bertozzi
The inspector’s account

Licensing Program Analyst (LPA) Christi Coppo arrived at this facility unannounced to conduct a POC visit. LPA met with caregiver. Administrator was not at facility but was available by phone. Licensee applicant Bana Solomon was present at facility and Admin gave applicant permission to sign report. Additionally, licensee applicant discussed many questions regarding regulations with LPA.

On 8/12/25 LPA visited to facility to conduct a Plan of correction (POC) follow up visit. LPA tested water, water measured at 148.3 degrees F in long hall main bathroom, LPA measured temperature of water coming out of the shower head in the same bathroom and water measured at 100.8 degrees F. Additionally, water measured at 90.8 in jack and jill style bathroom for rooms #9/10, at 118.4 degrees F in long hall bath, and 123.6 degrees F in room #2. LPA and Admin discussed water temperatures. Admin was to work with licensee to get water temperature within regulation. Facility was to either repair or replace water heater(s); Admin will advise LPA of plan to replace or repair after discussing with licensee.

As of today, the water heater has been repaired and LPA tested water temperatures in the same rooms as tested on 8/12/25. Water temperatures read:113.7 degrees F in long hall large showering bathroom, LPA measured temperature of water coming out of the shower head in the same bathroom and water measured at 98.5 degrees F. Additionally, water measured at 103.1 in jack and jill style bathroom in rooms #9/10, at 103.4 degrees F in long hall small bath, and 125.6 degrees F in room #2. All but one water temperature measured outside of the allowable range of 105 to 120 degrees F. Deficiency of regulation 87303(e )(2) is being recited today ( deficiency cited, see 809D ).

Deficiencies cited from the California Code of Regulations, Title 22, Division 6 of California Regulation and the Health and Safety Code. Appeal rights given. Failure to correct the deficiency and/or repeat deficiencies within a 12 month period may result in civil penalties. Exit interview conducted with Licensee Applicant and a copy of this report was given.

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