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Inspection visit

Routine inspection

PINE HOLLOW CARE HOMELicense 347004307
Clean visit · 0 citations

Inspector’s narrative

What the inspector wrote

On 08/22/24 Licensing Program Analyst (LPA) Cheyenne Ratajczak arrived at the facility unannounced to conduct a Required 1 year annual inspection utilizing the care tool. LPA met with Administrator Tatyana Matskevich and explained the purpose of the visit. LPA and Administrator conducted a tour of the interior and exterior of the facility. Areas toured include but not limited to residents bedrooms, bathrooms, kitchen, garage, backyard and common areas. LPA observed required furniture, and lighting throughout the residents' bedrooms and facility. LPA observed residents' bathrooms to be clean, sanitary, and in good repair. LPA observed food supplies of non-perishables for a minimum of seven (7) days and perishable foods for a minimum of two (2) days. Toxins and cleaning supplies locked are inaccessible to residents in care. The hot water temperature was measured in the kitchen sink at 118 degrees Fahrenheit, which is within the required range of 105 to 120 degrees Fahrenheit. First aid kit was completed. LPA observed fire detectors and carbon monoxide alarms to be operable. The fire extinguisher, which is located in the kitchen, was last serviced on 05/19/2024. LPA observed required Licensing posters posted throughout the facility. LPA reviewed drill logs, which are conducted monthly. LPA reviewed three (3) resident files, which contains signed admission agreements, physician's reports, identification sheets, consent forms, and resident's rights. Medications are centrally stored, locked, and appear to be given per doctor order. LPA compared medications to those being given for three (3) residents and found no discrepancies. Facility is correctly using the Medication Administration Records (MAR). LPA reviewed a total of two (2) staff record. Staff has training in medications, first aid/CPR, and other various areas. No deficiencies being cited during today's inspection. Exit interview conducted and report provided.

Citations

No citations recorded on this visit

The inspector found no violations of California child care regulations during this visit.

FAQ · About this visit

Common questions about this visit

What happened during the August 22, 2024 inspection of PINE HOLLOW CARE HOME?

This was a inspection inspection of PINE HOLLOW CARE HOME on August 22, 2024. The inspection found no deficiencies and no citations were issued.

Were any citations issued to PINE HOLLOW CARE HOME on August 22, 2024?

No citations were issued during this inspection. The facility was found to be in compliance with all applicable regulations.

What type of inspection was this?

This was a inspection inspection. inspection inspections are conducted by CCLD as part of their licensing oversight.

SourceView on CCLDView original report

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