Facility Evaluation Report

On 5/04/2023, Licensing Program Analyst (LPA) Melissa Spaeth conducted an announced Pre-Licensing visit to this facility and met with applicant Iveta Darabedyan. This is an initial application for an RCFE. A fire clearance dated 4/20/2023 was received for five (5) non-ambulatory residents and one (1) bedridden resident. The purpose of today’s visit is to inspect the facility to ensure that it maintains compliance under California Code of Regulations, Title 22, Divisions 6.

LPA conducted the COMP III presentation from 11:10 am until 11:55 am.

Today’s site visit consisted of LPA touring the physical plant inside and outside. The tour began at 9:45 am and concluded at 10:30 am. LPA observed the following:

Kitchen Area – The facility has a fire extinguisher located in the kitchen. There is a functioning telephone on the premises and the facility phone number is 661-526-7021. The knives are safely locked in a kitchen cabinet. The facility PPE is stored in a closet near the kitchen. The medications will be locked in a kitchen cabinet. The first aide kit was locked in the same cabinet. The pantry contained a seven-day supply of non-perishable foods and the refrigerator contained fruits and vegetables. LPA observed the facility menu posted in the kitchen.

Dining Room – LPA observed a dining room table along with comfortable chairs located in the room.

Office – Games were stored in the office. The emergency exit plan/sketch is posted within the room. The resident and staff records will be locked in a two-drawer file cabinet.

Living Room – The living room is furnished with comfortable seating and a television.