Facility Evaluation Report, 07/27/2023 — Pine Manor Care Home, Modesto CA

Facility Evaluation Report

Pine Manor Care Home, Modesto07/27/2023Licence 507005425

Capacity6

Census0

Date signed07/27/2023 02:56:24 PM

The inspector’s account

Licensing Program Analyst (LPA) Jason Lund arrived announced to conduct a annual/required inspection. LPA Lund explained the reason for the visit to Administrator Sajida Khan. Census 0

LPA Lund and Administrator Sajida walked the facility inside and outside to ensure all passageways, and other areas of potential hazard are free of obstruction. LPA observed the kitchen and dining area, bedrooms and bathrooms, storage areas, laundry and lighting throughout the facility. LPA observed the fire extinguisher(s), smoke and carbon monoxide detectors and pull alarm system. Facility also has central heating and air.

Per the California Code of Regulations, Title 22, Division 6, Chapter 8, no deficiencies were observed during this visit. Exit interview held, copy of report given.

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