Facility Evaluation Report

Licensing Program Analyst (LPA) Quoc Huynh arrived at the facility unannounced to conduct a required annual visit at 10:37AM. The LPA met with the Licensee Izhak Illouz and Administrator Arlene Ceballos. Entrance interview conducted.

Beginning at 10:42AM, the LPA and Licensee toured the physical plant areas inside and outside to ensure there are no health and safety hazards, and facility is in compliance with Title 22 Regulations. The facility is a single story residential home. The following was observed:

BEDROOMS/RESTROOMS: There were seven (7) total bedrooms; six (6) private resident bedrooms and one (1) locked staff bedroom. Bedrooms #3, #5, and #6 have direct exits to the outside, and Bedroom #5 is cleared for one (1) bedridden resident. Bedrooms were furnished appropriately with clean linens, appropriate furnishings and sufficient lighting. Extra linens were stored in a dresser located in the hallway. There were six (6) total restrooms in the facility: five (5) attached private resident restrooms and one (1) common restroom located in the common area. Restrooms were clean, sanitary, and in operating condition with grab bars and non-slip surfaces. All restrooms were sufficiently stocked with soap, paper products, and displayed hand washing signs. Sink cabinets were locked and contained hygiene products. Hot water was tested and measured between 114.4 degrees F and 118.4 degrees F, which is within the required range per regulation.