Senior Care Records.

Facility Evaluation Report

Genesis Adult Residential Facility, Camarillo12/18/2024Licence 567610047

Capacity4
Census4
Date signed12/18/2024 03:09:40 PM
The inspector’s account

Licensing Program Analyst (LPA) Valeria Conway arrived at the facility unannounced to conduct a required annual visit at 12:00 P.M. The LPA met with Administrator Ramona (Mona) Keeton. LPA explained the reason for today's visit. Entrance interview conducted.

The facility is vendored through Tri-Counties Regional Center as a level 3 home. The Facility does handle cash resources for some of the clients, however at the time of the visit, no client require this service. Surety Bond is current. The following was observed:

Beginning at 12:20 P.M., the LPA, along with Administrator toured the physical plant areas inside and outside to ensure there are no health and safety hazards and the facility is in compliance with Title 22 Regulations.

Hardwired combination smoke alarms/carbon monoxide detectors were tested at 2:45 P.M. and functioned properly. The fire extinguisher was observed to be fully charged and last purchased on 09/21/2024. This facility is a two story house, all six (6) bedrooms are in the second floor.

BEDROOMS: The facility consists of six (6) total bedrooms, four (4) of which are private client bedrooms and two (2) are designated for staff use. LPA observed all client bedrooms, which were furnished appropriately with clean linens, appropriate furnishings and sufficient lighting.

RESTROOMS: Two (2) restrooms are designated for shared client use and one (1) is designated as a staff restroom. Client restrooms are clean and sanitary and in operating condition. Hot water was checked in the client restrooms and measured within the required range. LPA observed a complete first aid kit under the sink.

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