Facility Evaluation Report

Licensing Program Analyst (LPA) Tena Herrera conducted an announced pre-licensed visit and met with Licensee Leandro Resurreccion and Administrator Marie Resurreccion for the purpose of conducting a Pre-Licensing Inspection / Component III visit.

The facility has an approved fire clearance to be licensed to serve a capacity of four (4), (2) non-ambulatory in rooms 1&2 and (2) ambulatory in rooms 3&4. This is a single-story home located in a residential area in Bellflower, Ca. A tour of the facility includes: living room, dining room, activity area, kitchen, 4 bedrooms, 2 bathrooms, detached garage with laundry area, front yard and back yard.

The physical plant was toured inside and out alongside Leandro and Marie Resurreccion.

· There is a locked storage area that is centrally located for medication located in the dining area.

· Cleaning supplies are kept separate from food and located in a locked cabinet under kitchen sink (surplus is locked in detached garage storage closet).

· Facility walls, ceilings, floors, window screens and areas around the facility are clean and in good repair.

· Fire extinguisher and smoke detectors operate properly.

· Doors and passageways are free of obstruction.

· There are no pools/bodies of water at the facility.

· Facility does not have firearms on premises.