Facility Evaluation Report

Licensing Program Analyst (LPA) Ashley Calderon conducted a Pre-licensing for Change of Ownership and Facility Name Change visit, which included Component III orientation. LPA Calderon met with Applicant Edjeska Macandili, Licensee/Administrator.

There are currently four residents in care. LPA alongside Applicant conducted a walk-through of the entire facility, which included the outside perimeters of the property.The home is located in a residential area within the city limits of Norwalk, CA and consists of a single story building, two bathrooms, a living room, dining room, kitchen and patio located in the back yard and an attached garage used for storage and overflow of food. Facility fire clearance is approved for five (5) non-ambulatory resident’s and one (1) bedridden resident, capacity of 6, approved. Bedroom #4 approved for bedridden, and bedroom 1,2,3 approved or non-ambulatory. Facility will be serving a capacity of 6, elderly adults and has an approved Dementia care plan.

Facility was observed to be clean and in good repair. House temperature was between 68 degrees and 85 degrees Fahrenheit. All window screens were clean and in good repair. There was appropriate lighting in the facility and in each room. Protective devices were observed such as nonskid material in restrooms. Indoor and outdoor passageways and stairways were free of obstructions. Stairways, ramps, porch areas and pass ways areas were free of potential hazard , all accessible to residents and well-lit and equipped. No bodies of water were observed or that would be accessible to residents with physical or mental disabilities. The physical plant is consistent with the submitted facility sketch/floor plan.

Kitchen and dining room floors were observed to be clean, sanitary and odorless. Trash cans had tight fitting covers. The food preparations are prepared outside of the home, food wavier request will be submitted to Centralized Application Bureau.