Senior Care Records.

Facility Evaluation Report

Georgia's Guest Home, Empire05/01/2024Licence 500305863

Capacity15
Census10
Date signed05/01/2024 03:56:33 PM
The inspector’s account

On 05/01/24, Licensing Program Analyst Renee Campbell arrived to the facility unannounced and met with Administrator Georgia Wilcomb to conduct a case management. LPA Campbell reported to Administrator Wilcomb the purpose of the visit.

The purpose of the visit is to follow up on substantiated allegation from 04/11/24 under complaint 27-AS-20240125090756. On 04/11/24, LPA Avelina Martinez substantiated allegations that unlicensed care was being provided at 32 South G St, and required the licensee to move R1 to this facility where they could obtain a higher level of care.

LPA Campbell requested the file for R1 and Administrator Wilcomb provided the following documents:

Client Personal Property and Valuables (with clothes listed)

Per the administrator, the 602 will be completed by the facility physician, Dr. Josh Kemei by 05/10/24 at the latest. If the physician fails to abide by this appointment, the administrator will call to make an office appointment between the doctor and R1 for a face to face meeting with R1 and report the new date to LPA Campbell. A copy of this report was left with the facility.

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