Senior Care Records.

Facility Evaluation Report

Peterson Lane Home, Santa Rosa12/09/2025Licence 496803630

Capacity5
Census5
Date signed12/09/2025 02:42:58 PM
Name of licensing program analystDina Alviso
Name of licensing program managerBethany Moellers
The inspector’s account

Licensing Program Analyst (LPA) Alviso conducted a Required -1 Year inspection, on 12/9/25 at approximately 10:00am, and met with Abbie Narciso, Administrator/RN. LPA observed two caregivers/DSPs on duty during the inspection. There are five (5) clients residing in the home; Four (4) of the clients are at day program.

Facility is fire cleared for five (5) clients that are non-ambulatory, of which five (5) may be bedridden. Facility has a signal system on all exit doors. The facility has a permanent generator as a 2nd required power source. The generators run a check once every week to ensure they are working properly. The fire extinguishers were serviced and tagged as required. All exits were unobstructed. Smoke alarms are hard wired, home is fire sprinkled, and has two carbon monoxide detectors. Disaster drills/fire drills were being conducted by staff as needed, per record review.

Hot water was measured at 110.4 degrees Fahrenheit. All bathrooms have grab bars, and roll in shower area for clients use. The facility had a sufficient supply of food, hygiene products, linens, cleaners, incontinent supplies, paper supplies, and a large supply of personal protective equipment. Facility had sufficient furnishings for client use. All common areas, hallways, and resident rooms have sufficient lighting available for clients in care. The interior and exterior of the home were observed to be clean, maintained, and orderly. Facility has emergency food, water, and miscellaneous supplies to meet "72 hour shelter in place" requirements. Facility has a portable generator if needed. LPA observed the facility to be at comfortable temperature during the inspection. All medications were locked and inaccessible to clients, and all others that do not handle medications. Cleaners/disinfectants were locked and inaccessible to clients in care.

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