Facility Evaluation Report

Licensing Program Analyst (LPA) Sandra Urena arrived at the facility announced at 9:32 a.m. to conduct a pre-licensing inspection. The LPA met with Applicant Rafael Matevosian. This is a change of ownership application from Radford Home (#197603557) to Radford Home (#195850289). The current capacity is for four (4) residents, the facility currently has four (4) residents. The fire clearance was granted on 06/24/2022 for ambulatory residents.

From 9:45 a.m. to 11:15 a.m., 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 to residents. The supply of perishable, and nonperishable food is adequate. The supply of dishes is adequate. Appliances in the kitchen were clean, and all appeared functional. There is an adequate supply of emergency food. The hot water temperature in the kitchen measured 117.1 degrees Fahrenheit. The fire extinguisher is mounted by the sink area, and was last serviced in May 1, 2022.

BEDROOMS: The facility has (4) bedrooms, three rooms for clients, and one for staff. Bedroom #1 has single occupancy, bedroom #2 has double occupancy and bedroom #3 has single occupancy. All residents’ bedrooms are furnished appropriately with clean linens, furnishings, and sufficient lighting.