Senior Care Records.

Facility Evaluation Report

Kimberly's Family Home, Olivehurst10/19/2022Licence 585002917

Capacity4
Census4
Date signed10/19/2022 12:22:03 PM
The inspector’s account

LPA Hiratsuka, conducted this unannounced pre-licensing visit. LPA wore a surgical mask during visit and observed staff wearing a mask. This facility is undergoing a change of ownership.

This main entrance opens to the main sitting room. The kitchen, nook, and office with a full bathroom are to the right of the main entrance. There is a staff bedroom next to the nook area. There is a hallway that leads to the back of the facility. The hallway leads to four private resident rooms and one sitting area. The sitting area has a full bathroom. There is an exit in the sitting are as well. The backyard has a shed in one corner.

This facility meets regulations. LPA is going to submit this report to the application specialist.

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