Facility Evaluation Report
On this day at around 1:05 pm, Licensing Program Analyst (LPA) Luisa Fontanilla conducted an announced pre-licensing inspection and met with Licensee/Applicant Shahid Abbas (Administrator Certificate#6050933740 expiration 2/5/2025).
The home has an approved fire clearance for 5 non ambulatory and 1 bedridden residents. The home has a total of 5 resident bedrooms and 2 bathrooms. There is one room designated for staff use.
LPA toured the facility with the Administrator. There were sufficient kitchen and dining wares observed. Separate locked cabinets for medicines and chemicals were observed. All the resident rooms were observed equipped with beds, mattress, chair, lamp, dresser and closet. There were hygiene products observed. Bathrooms were observed with grab bars and non skid mats.
Carbon monoxide and smoke detectors were tested and observed operational. There were no bodies of water observed. The facility has sufficient lighting and appropriate equipment/furniture available.
Licensee/Applicant will obtain and provide LPA photos of the following on or before Monday, July 31, 2023:
LPA will inform CAB analyst upon receipt of proof of corrections. Final review of application, and license to be granted by CAB. Exit interview was conducted and copy of this report was provided
Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction