Senior Care Records.

Facility Evaluation Report

Kimberly's Family Home, Olivehurst08/08/2024Licence 585002917

Capacity4
Census4
Date signed08/09/2024 10:08:01 AM
The inspector’s account

On 8/8/24 LPA Tryon visited the facility to conduct an annual inspection. LPA met with licensee Kimberly Kennedy. The facility currently has 4 residents.

LPA toured the facility with Mrs. Kennedy including common areas, kitchen, food storage, hallways, bathrooms, resident rooms, etc.

The home is clean and nicely furnished. Resident rooms are appropriately furnished. Smoke and carbon monoxide detectors installed. Fire extinguishers present and charged.

Food supplies appear to meet the requirement of 2 days perishable and 7 days non-perishable. Bathrooms are clean and fixtures are clean and functional. Medications are centrally stored and locked.

LPA reviewed Administrator staff file and 2 resident files. Files contain required documentation.

LPA reviewed the CARE Tool with Administrator.

No deficiencies were cited at this visit.

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