Facility Evaluation Report
On 10/26/23 at approximately 9:40am Licensing Program Analyst (LPA) Maja Jensen arrived at facility unannounced to conduct a required 1 year annual inspection. LPA Jensen met with Administrator Shirley Tudence and explained the purpose of today's visit. The administrator holds current certificate # 6057838740 good through 11/9/2024.
The current facility census is 4. The facility's plan of operation allows for care of residents with dementia. The fire clearance allows for a capacity of 5 non-ambulatory residents. There is currently no hospice waiver. The annual licensing fees are current. The facility maintains liability insurance for the required policy limit minimums with a current policy period of 3/14/23 through 3/14/24. All facility staff were determined to have criminal background clearance.
LPA Jensen toured the grounds and observed them to be maintained with all paths free of obstruction. All window screens were observed to be in good repair. There is outdoor furniture and shaded seating areas for clients to engage in outdoor activities. The facility exit/entrances have accessibility ramps.
The interior of the facility was observed to be sanitary and adequately furnished. The thermostat was set at 70 degrees for the comfort of the residents. LPA Jensen toured the kitchen and confirmed that a 2 day supply of perishable food and a 7 day supply of non-perishable food is maintained. There is a menu posted and the food being prepared for dinner accurately reflected what was posted on the menu. Cleaning supplies, toxins and knives were observed to be locked and inaccessible to residents in care. LPA Jensen observed 2 kitchen cabinets missing handles. Technical assistance was provided.
LPA Jensen toured the resident bedrooms. The facility has 2 private bedrooms and 1 shared bedroom. The bedrooms were observed to contain all required furniture. Each bedroom was personalized to reflect the interests of the individual resident. The facility maintains an adequate supply of bedding and linens.
Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction