Facility Evaluation Report

Licensing Program Analyst (LPA) Ashley Calderon and LPA Erik Zaragoza conducted a Pre-licensing for Change of Ownership and Facility Name Change visit, which included Component III orientation. LPA Calderon met with Applicant Peter Nora and owner Euphrosyne Diamaano.

LPAs alongside Applicant conducted a walk-through of the entire facility, which included the outside perimeters of the property.The home is located in a residential area within the city limits of Cerritos, CA and consists of a single story building, 5 bedrooms, two bathrooms, a living room, Kitchen/ dining room, and a back yard and an attached garage used for: storage, laundry, overflow of food, and emergency food items inaccessible to residents in care.

A facility fire clearance is approved for six (6) non-ambulatory resident’s and of the six, one (1) which can be a bedridden resident, capacity of 6, approved. Bedroom #5 approved for bedridden.

Facility will be serving a total capacity of 6, Residential Care for the Elderly and has an approved Dementia care plan. Facility currently has four residents in care, 2 on Hospice.

Facility was observed to be clean and in good repair. All window screens were clean and in good repair. There was appropriate lighting in the facility and in each room. Indoor/ outdoor passageways, porch areas were free of obstructions and were free of potential hazard. Ramps were observed to be free of potential hazards. The physical plant is consistent with the submitted facility sketch/floor plan.