Senior Care Records.

Facility Evaluation Report

North Valley Services - Lucknow Home, Red Bluff06/06/2023Licence 525002435

Capacity3
Census34
Date signed06/06/2023 12:18:08 PM
The inspector’s account

05/30/2023 11:05 AM Licensing Program Analyst (LPA) Rebecca Knight arrived at the facility unannounced to conduct a Required-1 Year inspection. LPA met with Velvet Peterson Program Director (#6058268736 exp. 10/01/2023) and Eric Fulk administrator and explained the purpose of the visit.

LPA Knight, the program director and the administrator toured the facility together to ensure the health and safety of residents in care. Areas toured include but are not limited to three (3) resident rooms, common areas, two (2) bathrooms, kitchen, storage areas and back yard. Staff and resident files were reviewed. Medications were also reviewed.

Common area was clean and in good repair. All bedrooms had required furniture, bedding, and lighting. Bathrooms were clean and in good repair. Kitchen was clean and in good repair. Facility has required (7) seven-day non-perishable and (2) day perishable supply of food. Medication is locked in a locked cabinet.

Fire extinguishers fully charged and were inspected in March 2023. Smoke detectors are all operational. All employees requiring background checks are cleared. All required postings are displayed within facility.

No pools/bodies of water are on premises. No firearms are on premises. Last disaster drill was conducted in May 2023 which was an active shooter drill and the facility has been conducting fire drills monthly. In the areas toured no immediate health, safety, or personal rights violations were observed.

No deficiencies are being cited as a result of today’s inspection. Technical assistance was provided. Licensee will arrange to have discarded mattresses removed from the premises.

Exit interview conducted and copy of report was provided to Velvet Peterson.

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