Facility Evaluation Report
License Program Analyst (LPA) Hansen arrived unannounced to conduct an annual inspection visit of the facility. LPA was welcomed by Licensee/Administrator, Ladana Luellen. There is a total of 3 residents in care, 1 currently on Hospice, 3 with dementia.
LPA toured the facility on 4/8/2025 at 1:45 PM with Licensee; facility was found to be clean and at a comfortable temperature with all exits free from obstruction. Exits were equipped with auditory devices. Smoke detectors and carbon monoxide detectors were found to be operational during the visit. Fire extinguishers were last checked 10/14/2024. Hot water temperature measured between 111.3 degrees F and 112.6 degrees F within Title 22 acceptable regulation of 105 to 120 degrees F in 3 of 3 resident’s bathrooms while touring facility. Resident bathrooms had required slip resistant mats and grab bars. The facility serves residents with dementia and has a plan of operation for special care and programming. There was a sufficient supply of both perishable and nonperishable food as required by Title 22 Regulations. Food stored in the kitchen refrigerator were properly stored as per regulations on this day at the time of the visit. Toxins are stored in a locked cabinet in the laundry room. Dangerous items were found stored inaccessible to residents with dementia. There was an ample supply of cleaners, hygiene products and paper products available for residents. The bathrooms designated for residents at the facility were supplied with paper towels and hand soap dispensers. All bedrooms have lighting & appropriate furnishings. Medications were centrally stored in locked cabinet in facility office/kitchen.
A review of three (3) resident & two staff records as well as medication audit was conducted. LPA reviewed resident’s files at 2:15pm on 4/8/2025 and learned that all residents have an appraisal or updated re-appraisals/needs & care plan and 3 out of 3 residents physician’s assessments (LIC 602A) are updated as required by Title 22 Regulations on file.
Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction