Facility Evaluation Report

Licensing Program Analyst, (LPA) Ray Comer, made an unannounced site visit to this facility as a continuation of the required annual Inspection initially conducted on 09/12/2025. LPA met with Administrator and the purpose of visit was disclosed.

The following remaining inspection domains were observed, reviewed and inspected :

Fire Detection/Protection system is present in the facility. Multiple smoke and carbon monoxide alarms are installed, hardwired, and interconnected throughout the Facility. LPA observed all fire suppression and signaling systems to be tested and "passed" inspection by contracted vendor, Fire Alliance Inc. Inspection report submitted to Los Angeles Fire Department on 01/22/2025. Fire drill last conducted September 10, 2025. Fire extinguishers were observed throughout the facility on all floors. All extinguishers were last serviced by July 2, 2025. Evacuation chairs were observed in each stairwell. Roof access is inaccessible to residents. Evacuation routes are clearly labelled and posted throughout the facility.

Kitchen: LPA observed kitchen as clean, refrigerators and freezers observed to maintain required temperatures, appliances and fixtures functional, and a sufficient amount of perishable and non-perishable food observed as properly stored and labeled. Residents do not have access to the kitchen; knives and sharps are properly stored and inaccessible to residents. Facility menu appears to meet the daily dietary needs of the residents. No pesticides, nor poisons were observed near any food areas. However, LPA observed two (2) staff working in kitchen area without required hair net coverings. Deficiency will be issued in LIC 809-D.