Facility Evaluation Report

Licensing Program Analyst (LPA) Angela Panushkina met with David Kawooya, Administrator/Applicant, for a Pre-licensing inspection at 10:00am.

The home will be vendored by North Los Angeles Regional Center. The home will serve four (4) level 3 intellectually disable adults. Clients will be all ambulatory. The facility has 4 bedrooms and 2 ½ bathrooms designated for a capacity of 4 clients. There is one bedroom designated for staff. Staff will be awake at night.

The physical plant was toured inside and out.

LPA observed the living room and furniture to be clean and in good repair. LPA observed the dining area to be clean and in good repair. The facility maintains a comfortable temperature at 75 degrees F which meet regulations. The air conditioner is operational. The smoke alarm and carbon monoxide detector were operational. Fire extinguishers was last purchased on 11/29/23.

Resident rooms: LPA observed all four (4) rooms are private and have bedding sheets, pillowcase, blankets, which are in good condition. There is at least one chair, night stand and sufficient lighting for each client. The mattresses and bedsprings were also checked for condition. Window covering and window screens are in good repair.

Consumers will have sufficient amounts of supplies for personal hygiene products which is provided by the Licensee. Medications and files will be kept centrally stored and locked in a hallway closet.