Senior Care Records.

Facility Evaluation Report

Mills Manor, Sebastopol06/09/2023Licence 496804141

Capacity6
Census4
Date signed06/09/2023 11:25:09 AM
The inspector’s account

Licensing Program Analyst (LPA) Cuadra arrived unannounced for the purpose of conducting a subsequent pre-licensing visit to review the physical plant for non-ambulatory status. LPA was greeted by Applicant Anton Kuehnhackl. A pre-licensing inspection was completed on 04/25/2023.

During today's visit, LPA/Applicant toured the facility, including bedroom #3 that has the non-ambulatory status. No new construction was done. The bedroom was previously designated as non-ambulatory room and was approved per fire safety inspection on May 30, 2023 for capacity of 4 ambulatory and 2 non-ambulatory residents. Applicant has satisfied all requirements in accordance with Title 22, California Code of Regulation. LPA will notify Application Unit Pre-licensing inspection is complete to proceed with the process of license. Pre-Licensing fire clearance correction have been resolved. Pre-Licensing is now complete.

No deficiencies noted at the time of this visit in the areas toured by LPA. Exit interview conducted with Applicant and a copy of this report was given.

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