Facility Evaluation Report

Licensing Program Analyst (LPA), Sanjay Vaid conducted an announced visit to the facility for purpose of a Pre-licensing evaluation. At today's visit Administrator Armen Markosian and consultant Ripa Tavitian were present. An application was submitted to CCLD for Initial license for RCFE. The requested capacity is for 5non-ambulatory and 1 bedridden resident.

Structure: The facility is a single story house and located in a residential neighborhood area. Facility is 4 bedrooms, 2 bathrooms, kitchen, living room, staff office/dining area and Activity Room. The client bedrooms are spacious and will easily accommodate the client's furnishings. The yard has a covered, shaded area for table and chairs. The passageways, walkways, driveway are free from obstructions. The front, back and side areas are free of hazards and maintained in a good condition.

Signal system: The facility has a delayed egress with key and code to enter into the facility and LPA observed and its operational.

Bedrooms Residents : There is one bed in each client's bedroom. Each bedroom has one beds, one chairs, one night stand, one dresser, one closet and overhead lighting.

Bathrooms: All toilet, wash basins and showers are working.

Linens & Hygiene Supplies: Beds have the required linen/supplies which include, pillowcase, mattress pads, fitted sheet, blanket and bedspreads. Adequate supply of linen stored in client's closet and the personal hygiene supplies will be stored and locked in the file cabinet in the living room.