Facility Evaluation Report

Licensing Program Analysts (LPA) Erica Mosley arrived at the facility unannounced to conduct a required annual visit and entered the facility at 9:30 a.m. Upon arrival, LPA Mosley was greeted by staff who called the Administrator to inform them of the visit. The Administrator arrived shortly thereafter. The LPA met with Izhak Illouz –Licensee Representative / Administrator and explained the reason for the visit. The LPA 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.

KITCHEN: The LPA inspected the kitchen/food service area at 9:42 a.m. Knives and sharps were observed in a locked drawer. Kitchen appliances were in operable condition. Chemical storage is kept locked under the sink. The facility has a sufficient supply of two (2) day perishable and seven (7) day non-perishable food. Refrigerator and food pantry were checked for proper labels and expiration dates. The kitchen faucet was measured for hot water temperature, and it measured 115.1 degrees Fahrenheit at 9:43 a.m. LPA observed an adequate amount of emergency food located in one of the kitchen cabinets adjacent to the refrigerator and in the garage.

COMMON AREAS: At the time of the visit, furniture in the common areas was observed to be in good condition. The facility maintained a comfortable temperature. At 10:09 a.m., hardwire combination of smoke / carbon monoxide detector were tested and operational at the time of the visit. The fire extinguishers were observed and fully charged on 1/03/2025. The LPA observed required postings throughout the common space. The last emergency disaster drill took place on 01/06/2025 and are conducted quarterly. Activities were observed in the common areas. A non-functional fireplace was noted in the living room covered by a bookshelf. Adjacent to the kitchen is a laundry room / area with a washer and dryer. Laundry detergent was observed locked in the garage. A small storage room containing extra mobility supplies and oxygen was noted at the entrance way adjacent to the living room. The facility has a working telephone on premises. Auditory alarms on all doors were functional at the time of the visit. Entry/exits were free of obstruction. Report Continued on LIC 809C...