Facility Evaluation Report

Licensing Program Analyst (LPA) Quoc Huynh arrived at the facility unannounced to conduct a required annual visit at 1:08PM. The LPA met with Administrator Arlene Ceballos. The Licensee Izhak Illouz arrived at approximately 2:25PM. Entrance interview conducted.

Beginning at 1:11PM, the LPA and Administrator 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 following was observed:

BEDROOMS/RESTROOMS: There are seven (7) total bedrooms; six (6) private resident bedrooms and one (1) locked staff bedroom. Bedrooms #3, #4, and #5 have direct exits to the outside, and Bedroom #3 is cleared for one (1) bedridden resident. Bedrooms were furnished appropriately with clean linens, appropriate furnishings and sufficient lighting. Extra linens are stored in a dresser located in the hallway. There are six (6) total restrooms in the facility: five (5) private resident restrooms and one (1) common restroom. Restrooms were clean and 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. Hot water was tested and measured between 110.5 degrees F and 118.2 degrees F.