Senior Care Records.

Facility Evaluation Report

Warner's Family Home, Olivehurst08/31/2023Licence 585000879

Capacity6
Census4
Date signed08/31/2023 03:22:10 PM
The inspector’s account

LPA Hiratsuka conducted this unannounced annual visit. LPA toured the facility with Administrator Michael Warner.

This facility has two floors. The second floor is the licensee's living quarters. There are three shared resident rooms and one staff room on the first floor. The first floor is the main area for the residents. There is a pool that is surrounded by a locked fence. There is an ample supply of perishable and non-perishable.

Two staff and two resident records were reviewed.

The following shall be updated and submitted to Community Care Licensing Division by September 15, 2023:

-LIC 500 facility personnel or staff schedule

-LIC 308 designation of administrative responsibility

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