Senior Care Records.

Facility Evaluation Report

Dutchollow Suites I, Modesto09/25/2025Licence 507004929

Capacity4
Date signed09/25/2025 01:38:37 PM
Name of licensing program analystEllen Lindstrom
Name of licensing program managerLisa Rios
The inspector’s account

On 9/25/2025, Licensing Program Analyst (LPA) Triel Ellen Lindstrom arrived at the facility unannounced to conduct a required 1-year annual inspection. LPA was greeted by Administrator Cecilia Candido. LPA Lindstrom introduced herself and explained the purpose of the visit. The co-Administrator Nikolas Adamsson was also present. Both Administrators have valid Administrator’s certificates.

The facility has four bedrooms and two bathrooms. The current census is two residents. Two bedrooms were in use by residents, and the third and fourth bedrooms have been designated as office and storage.

The LPA toured the interior of the facility. The interior is decorated and contained adequate furniture for residents in the living room, entertainment room, and dining room. The bedrooms were clean and contained the required furniture. The bathrooms were clean. The water temperature in the hallway bathroom was 119 degrees Fahrenheit. The smoke and carbon monoxide detectors were wired together and in working order. The fire extinguisher was purchased on 11/8/2024 and had been checked monthly by staff. The administrator reviewed the emergency disaster plan last month and there were logs of quarterly disaster drills.

The LPA inspected the kitchen. The LPA observed that several opened food items that require refrigeration after opening were in the kitchen cabinets, unrefrigerated. There were several perishable and nonperishable food items in the refrigerator and pantry that were expired. There were cleaners and chemicals stored in kitchen cabinets with food. There was a two-day supply of perishable food and seven-day supply of non-perishable food in the kitchen and garage. The LPA inspected the medication storage and records. Medication was stored in a locked cabinet in the kitchen. The paper-based medication administration record produced by the pharmacy was complete and up to date.

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