Senior Care Records.

Facility Evaluation Report

Le Elen Manor, Inc.iv, Santa Rosa04/29/2025Licence 496803259

Capacity6
Census3
Date signed04/29/2025 11:20:14 AM
Name of licensing program analystMarisol Cuadra
Name of licensing program managerBethany Moellers
The inspector’s account

Licensing Program Analyst (LPA) Marisol Cuadra, arrived unannounced to conduct an annual required Inspection and met with Administrator, Janet Hermogenes. Annual fees are current.

LPA/Administrator initiated a tour of the facility at 9:00am and made the following observations: Facility was a comfortable temperature and passageways were free from obstructions. Resident rooms were furnished per regulation. Water temperature in resident bathroom measured 113.5 and 113.4 degrees F which are within allowable range of 105 to 120 degrees F. Extra hygiene products and linens were available. Bathrooms had required bath mats and grab bars. Cabinets containing cleaning supplies were locked. Facility has at least two days of perishable and one week of non-perishable foods. Emergency food supplies observed. Medications were centrally stored and locked in a medication cabinet. Refrigerated medications were observed in a locked box in a refrigerator located in the kitchen. Last disaster drill conducted on February 8, 2025. Fire extinguisher was last inspected August, 2024. Smoke detectors and carbon monoxide detector located throughout the facility were tested and operational. Exit doors have auditory alert system and were functional at time of visit. Required postings were observed. Facility doesn't handle cash resources. Medications and medication records were reviewed. Contact information was reviewed.

File review was initiated at 9:30am. Three staff files and three resident files were reviewed. Staff have required First Aid and CPR certificates. Staff have training required annual hours complete. Administrator Certificate for Administrator, Janet Hermogenes, 6013991740, expires on 10/24/25. Administrator submitted updates of the following documents: Designation of Administrative Responsibility (LIC308), surety bond, liability insurance, Personnel Report (LIC500) and Administrative Organization (LIC309).

No deficiencies cited during today's visit. Exit interview conducted with Administrator and a copy of this report was given.

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