Facility Evaluation Report

At 9:40 a.m., Licensing Program Analyst (LPA), Emily Peraldi, conducted a pre-licensing visit to this property with applicant representative Edva Elkayam. This is a change of ownership application from The Colony Sherman Oaks #2 (#195850103) to Cottages at the Colony of Sherman Oaks #2 (#195850193). The current census is 3 residents. On 09/09/2021, the applicant obtained fire clearance for a total capacity of six (6) bedridden residents.

Between 9:51 a.m.- 10:15 a.m. LPA, along with applicant toured the facility.

At 9:55 a.m., LPA toured the kitchen area. The facility has a sufficient supply of perishable and non-perishable food. Kitchen knives are stored in a locked cabinet. Appliances and all equipment appear to be clean and in good repair. The kitchen has a sufficient supply of plates, cups, cook ware and utensils. The freezer and refrigerator are at proper temperature range. At 10:09 a.m. hot water measured at 105.3 degrees Fahrenheit.

At 10:05 a.m., fire alarms and carbon monoxide detectors were tested and were functioning properly. LPA observed the fire extinguisher to be fully charged and last serviced on 11/12/2021.

There are six (6) single occupancy bedrooms for resident use and there are one (1) staff room. Each bedroom is equipped with clean mattresses, pillows, bedding, a dresser and closet space. There is sufficient supply of linens, including blankets, bath towels and wash cloths. Bedrooms have sufficient lighting. There is a total of five (5) bathrooms. Bathrooms have sufficient paper products and soap. At 10:10 a.m. bathroom hot water measured to 110.2 degree- Fahrenheit. There are nightlights present in the hallways.