Facility Evaluation Report

Good Shepherd Villa, Modesto06/08/2022Licence 502700562

Capacity6
Census4
Date signed06/09/2022 08:45:01 AM
The inspector’s account

Licensing Program Analysts (LPAs) Charlie Yang and Arielle Pascua conducted an unannounced required-1 Year inspection visit on 06/08/2022. LPAs met with the facility designated Administrator, Eulerina Koester. It was observed that the administration certificate for Eulerina Koester was due to expire on 05/20/2024. There was one other staff member present, Maribel Castillo.

The interior of the physical plant was in good condition and sanitary. Fire extinguishers appeared to have been annually inspected by Cal State Fire and was valid until 12/14/2022.

The kitchen area was toured. LPAs observed a sufficient seven days of non-perishable foods as well as two days worth of perishable food supplies in the main kitchen. Additional perishable and non-perishable food supplies were identified in the garage.

LPAs observed a locked centralized stored medication cabinet located in the kitchen. Along with the administrator, the LPAs observed, reviewed, and compared resident medication and medication dispensing logs. First Aid Kit was present and contained all of the required components.

A tour of the bathrooms was conducted. Hot water temperature was measured and observed to be within the required range of 105-120 degrees. A linen closet was located in the hallway and presented a sufficient amount of linens to adequately supply and meet the needs of the residents at this time.

A tour of the bedrooms was conducted. Resident furniture was observed to be sufficient to meet their needs at this time.

Laundry area was toured. Laundry detergent, bleach, and all other cleaning supplies were observed to be locked and made inaccessible to the residents at this time.

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