Facility Evaluation Report
Licensing Program Analyst(LPA), Christine Yee, conducted a subsequent announced case management visit to verify that the deficiencies observed during the initial Prelicensing and Component III visit conducted on 3/21/24 was corrected. LPA Yee met with Marine Ghukasyan, Applicant. Also present during the visit was Gevorg George Gevshenyan, family member.
Per today's visit, the following corrections were observed:
the water temperature was tested in the common bathroom and it read 119.6 degrees Fahrenheit
the water temperature was tested in the private bathroom and it read 119.5 degrees Fahrenheit.
a blanket and a flat sheet was observed on each resident bed and 2 extra blankets were observed stored in the residents closet in each room
a grab bar was observed in the shower stall located in the private bathroom
the Long Term Care Ombudsman poster was obtained and was observed posted by the front door
the complaint poster that met Title 22 size requirements of 20" X 26" was observed posted on the living room wall by the front door.*
the water stain on the living room ceiling was painted.
the double sided fire place between the living room and family room was observed with a fire screen on each side.
the sliding screen door of the family room was observed to be repaired.
a window screen was observed on the window located in bedroom #1.
The following must be completed once the facility is licensed:
liability insurance that meets Title 22 requirements will be purchased.
perishable foods for a minimum of 2 days will be purchased prior to the acceptance of the first resident.
Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction