Senior Care Records.

Facility Evaluation Report

Tree Haven Estate 1 LLC, Kenwood12/04/2024Licence 496804195

Capacity8
Census3
Date signed12/04/2024 03:48:55 PM
The inspector’s account

Licensing Program Analyst (LPA) Christi Coppo arrived unannounced to conduct a required Annual inspection and was greeted by Administrator Martha Marimbi.

At approximately 1:30pm LPA and Admin toured the building and grounds. The facility was found to be clean and at a comfortable temperature. LPA observed at least a 2 day supply of perishable and 7 day supply of non-perishable food. Food was found to be stored in a safe manner with open items covered. Cleaning supplies are stored in locked in outside laundry room. Kitchen drawer with sharp knives locked.

All bedrooms were equipped with lighting, night stand, and chest of drawers. All bedrooms were clean and in good repair. Extra hygiene products and linens were available. Resident bathroom had required bath mat and grab bar. Water temperature in sink accessible to residents in care measured at 118.9 degrees F in the bath off the kitchen, 112.4 degrees F in the cottage and 114.3 degrees F in room #2 which are all within the allowable range of 105 to 120 degrees F.

Fire extinguishers were last inspected 2/22/24. Smoke/Carbon Monoxide detectors located throughout the facility are hardwired and serviced annually by Santa Rosa Fire Equipment Inc, last serviced on 9/2024. Facility’s last quarterly disaster drills were conducted on 9/26/24. Facility has a backup generator for use during a power outage.

At approximately 2:00pm LPA conducted a review of 3 resident records. Resident (R1) did not have an appraisal on file ( deficiency cited, see 809D ).

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