Senior Care Records.

Facility Evaluation Report

Hartwig House, Santa Rosa05/29/2025Licence 496802057

Capacity4
Census3
Date signed05/29/2025 10:21:15 AM
Name of licensing program analystMarisol Cuadra
Name of licensing program managerBethany Moellers
The inspector’s account

Licensing Program Analyst (LPA) Cuadra arrived unannounced to conduct an Annual Required Inspection and met with Licensee/Administrator Jolene Clift. Fees are current. Clients were attending day program during visit. Contact information was reviewed. Required postings were observed.

LPA/Licensee initiated a tour of the facility at 9:30 am and observed the following: Facility was a comfortable temperature, passageways were free from obstructions. Client rooms are furnished per regulation. Water temperature in client bathroom read at 105.3 which is within regulation of 105 and 120 degrees F. At least two days of perishable and one week of non-perishable foods were available. Toxins are locked in a cabinet under the kitchen sink. Fire extinguishers were last inspected October, 2024. Facility has a fire pull system. The last fire department visit was conducted on 5/14/24. Smoke detectors and carbon monoxide are hard wired and were operational at time of inspection. Most recent Fire/Disaster drill was conducted 3/1/25. Cash resources and records were also reviewed.

LPA initiated file review at 9:45 am. Three client and two staff files were reviewed. First aid certificates for staff and annual training hours are current. Administrator Certificate for Jolene Clift, 7003195735 expires 1/31/26. Medications and medication records were reviewed.

Licensee agreed to submit updates of the following documents by 6/6/25: LIC500 (Personnel Report) and LIC400 (cash affidavit for clients).

No deficiencies cited during this inspection. Exit interview was conducted with licensee and a copy of this report was given.

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