Senior Care Records.

Facility Evaluation Report

Kirby Parkside, Santa Rosa10/19/2022Licence 496802077

Capacity3
Census2
Date signed10/19/2022 03:06:54 PM
The inspector’s account

Licensing Program Analyst (LPA) Hansen conducted an unannounced case management inspection and met with Janet Kirby, 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 has not submitted an infection control plan as of yet. 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 "December 19, 2022”. LPA has given a facility a Technical Assistance at today’s visit (see LIC 9102TA).

No deficiencies cited during today’s inspection.

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