Facility Evaluation Report
Licensing Program Analysts (LPAs) Angela Barutyan, Kelly Dulek, and Trevor Byrne arrived at the facility unannounced to conduct a required annual visit at 9:49AM. LPAs met with Licensee/Administrator Izhak Illouz. Entrance interview conducted.
Beginning at 9:54AM, the LPAs, along with Licensee/Administrator toured the physical plant areas inside and outside to ensure there are no health and safety hazards and that facility is in compliance with Title 22 Regulations. The following was observed:
Fire extinguishers are fully charged and recently serviced on 02/06/2024. At 10:15AM, LPAs observed the side gate to be locked at the time of the visit which poses a fire clearance concern. Hardwired combination smoke and carbon monoxide detectors were tested at 10:55AM and all were functional at the time of the visit. LPAs observed a fire door separating the living room from resident bedrooms which failed to self-close at the time the test was conducted.
BEDROOMS : There are 7 (seven) total bedrooms in the facility; 6 (six) are designated as private resident rooms and 1 (one) is utilized as a staff room. All resident rooms were observed to be furnished appropriately with clean linens, appropriate furnishings and sufficient lighting. Staff room was observed to be locked.
BATHROOMS : There are 6 (six) bathrooms for resident use. 1 (one) is designated for shared resident use and the other 5 (are) are private resident restrooms. Restrooms were observed to contain nonskid mats. Grab bars were observed in the bathrooms. The water temperature was measured in all resident bathrooms and measured between 111.7 and 118.8 degrees Fahrenheit, which is within the required range. Room #7 belonging to resident #1 (R1) was observed to have missing grab bars in the shower and by the toilet. Staff placed temporary suction grab bars which fell off at the time of the visit.
COMMON AREAS : This includes the living room and dining room areas. LPAs observed common area to be clean and properly furnished at the time of the visit. Report Continued on LIC 809-C
Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction