Senior Care Records.

Facility Evaluation Report

Walnut Garden III, Valley Village07/25/2023Licence 195850246

Capacity6
Census6
Date signed07/25/2023 08:32:44 PM
The inspector’s account

Licensing Program Analyst (LPA) Zabel Chochian conducted an annual inspection visit today. Upon arrival LPA met with staff. Licensee/Administrator was contacted and arrived at approximately 1:30pm. LPA and staff initiated the physical plant tour approximately 1:15pm and later continued the tour with Mr. Illouz.

BEDROOMS : There are (7) seven bedrooms in the facility; the facility has (6) six private bedrooms for resident use, and (1) one staff room. The staff room is kept locked. Room #3, #5 and #7 have direct access to the outside. Lighting in the rooms are adequate. (6) six out of (6) six private resident rooms observed with beds, night stands, lamps, chests of drawers, chairs and closet space. BATHROOMS : Six (6) full bathrooms. There are five (5) private bathrooms for resident use; the full bathroom near the entrance of the home next to the kitchen is designated for staff and guests. The showers are equipped with nonskid surfaces and available nonskid mats. Grab bars were observed in the bathrooms. Hot water temperature in bathrooms measured between required range 110.5 degrees Fahrenheit. COMMON AREA: The common areas were appropriately furnished, and the lighting was adequate. There is a television and other entertainment equipment in the living room area. The facility smoke alarm system is hard wired; the smoke detectors were operable at the time of the visit. There are three (3) fire extinguishers which were fully charged and last serviced 4/27/2023. There is a functioning telephone on the premises. All required postings observed posted on the wall in the kitchen. EXTERIOR : The exterior passageways were clean and clear of any obstructions. There is a covered patio area in the backyard with tables and chairs for resident use. There are no bodies of water noted on the premises . The back and sides of the house are separated from the front yard by gates at the north and south side passageways, both gates have self-latching mechanisms. There is no front yard gate or driveway gate. The garage on the property has been converted into a residential unit with a separate address which in not attached to the house. There are no other structures on the property.

Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction