Facility Evaluation Report

Licensing Program Analyst(LPA) Christine Yee conducted a subsequent Pre-Licensing Visit to verify that the corrections noted on the initial Pre-Licensing visit conducted on 5/10/23 were completed and to also conduct Component III with Zohrab Zargery, Applicant

The following corrections were observed on today's visit:

the fireplace was covered with a screwed on metal screen

Perishable and non-perishable food were purchased but not in quantities to meet the 2 days for perishables and 7 days for non-perishables as required by Title 22 for 4 residents. Per Applicant, he will purchase more perishable food prior to accepting the first client. A receipt of additional non-perishable food purchased will be faxed to LPA Yee by 6/9/23.

Motion triggered night lights were observed in the hallway

Personal items kept in the residents' rooms were removed

2 extra sets of bed linens consisting of a fitted sheet, flat sheet and 2 pillow cases for each resident were observed.

2 bath towels, 2 hand towels and 2 face towels were observed for each resident

2 blankets for each resident were observed