Facility Evaluation Report

On 02/09/2024 at 10:00 am, Licensing Program Analyst (LPA) Lorena Casillas conducted an announced Pre-Licensing Inspection with the Administrator Shawn Lakhanpal. An application to operate a Residential Care Facility for the Elderly (RCFE) was received by Community Care Licensing (CCL) on June 05, 2023. A fire clearance was approved on November 07, 2023, for five (5) non-ambulatory residents and one (1) bedridden resident for a total capacity of six (6). The purpose of today’s visit is to inspect the facility to ensure that it maintains compliance under California Code of Regulations, Title 22, Division 6.

The Component III presentation was conducted from 10:05 am until 12:00 pm with Administrator.

A tour of the physical plant was initiated at approximately 12:00 pm and the following was observed:

KITCHEN: The facility has a Kitchen area that is equipped with a refrigerator, microwave oven and sink. There was an adequate supply of nonperishable food and dining ware to accommodate a maximum capacity of six (6). Knives will be locked in a cabinet in the kitchen area.

BEDROOMS: There are four (4) bedrooms designated for resident use. Two (2) rooms are designated to be private rooms. Two (2) bedrooms will be shared. Bedroom #1 has a direct exit and will be for non-ambulatory and a bedridden resident. Bedroom #4 has a direct exit and will be used for a non-ambulatory resident. The applicant furnished the resident bedrooms with beds, night stands, chairs, dressers, bedding and linen. All rooms had sufficient lighting.