Senior Care Records.

Facility Evaluation Report

Hazel Home, Santa Rosa10/25/2022Licence 496803290

Capacity6
Census5
Date signed10/25/2022 02:36:29 PM
The inspector’s account

Licensing Program Analyst (LPA) Hansen conducted an unannounced case management inspection and met with Debbie Miller, Licensee . The purpose of this case management inspection is to follow up on the submission of facilities mandatory Infection Control Plan.

The licensee informed LPA the facility had submitted an infection control plan but may have gone to a wrong email. LPA informed the facility that the licensee was granted a waiver under the Authority of Governor Newsom’s Executive Order N-11-22 issued on June 17, 2022, and the licensee agreed to submit the Infection Control Plan by June 30, 2022. LPA was able to obtain a copy of the facilities Infection Control Plan at today's visit along with the signed addendum for the Monkeypox Infection Control.

No deficiencies cited during today’s inspection.

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