Facility Evaluation Report

Today's pre-licensing visit was conducted by Licensing Program Analyst (LPA), Sandra Urena. The LPA arrived at the facility at 9:00 a.m., and met with applicant Luiza Hekimyan. This is an application for a Change of Ownership (CHOW).

The LPA, and the applicant toured the physical plant areas inside and outside to ensure there are no health and safety hazards and facility is in compliance with Title 22 Regulations.

KITCHEN : Kitchen knives are stored locked and inaccessible in a kitchen drawer. A seven day supply of non- perishable foods was available. The supply of dishes is adequate. Appliances in the kitchen were clean and all appeared functional. There is an adequate supply of emergency food. Kitchen, laundry, and house cleaning supplies are stored, locked, and located in the kitchen, and in the laundry room. Hot water temperature was recorded at 105 degrees Fahrenheit.

BEDROOMS : There are six bedrooms for resident use, and one bedroom for staff use. Lighting in the rooms appeared adequate. All bedrooms had adequate closet and drawer space for clothing and personal belongings.

BATHROOMS : The bathrooms are fully stocked with paper towels, hand soap, and hand washing signs. The showers have non-skid mats. Hot water temperature was recorded at 105 degrees Fahrenheit.