Facility Evaluation Report

Licensing Program Analysts (LPAs) Elizabeth Irra and Luis DeLeon conducted an announced pre-licensing visit. LPAs met with Stephanie Kaplan (Applicant), Rachel Tran (Director of Transitional Living Center) and Linda Leyva (Director of Accreditation). The facility is to serve (5) ambulatory individuals. Component III was also completed during this visit.

This is a single-story home that consists of: (3) bedroom, (2) bathrooms, living room, dining area, kitchen and detached garage.

Building and grounds are free from hazards.

Carbon monoxide detector was tested and operable. Located in the hallway leading to the bedrooms.

Fire extinguisher (service date: 01/15/24) located in the kitchen.

Pantry's cupboards, freezers, stoves, microwaves, refrigerator and counters are clean.

Two-day supply of perishables and seven-day supply of non-perishable will be stocked upon the first admission.

The facility has dining table and sufficient chairs.

Bedrooms are large enough to allow for easy passage between and comfortable for usage of beds and other required items of furniture.

Refer to LIC 809C for the continuation of this report.