Senior Care Records.

Facility Evaluation Report

Mom and Dads Retreat INC, Van Nuys09/17/2024Licence 197609298

Capacity6
Census5
Date signed09/17/2024 04:34:16 PM
The inspector’s account

Licensing Program Analysts (LPA) Erica Mosley arrived at the facility unannounced to conduct a required annual visit and entered the facility at 10:00 a.m. Upon arrival, LPA Mosley was greeted by staff and administrator and informed them of the visit. The LPA met with Administrator ARMENUI AMY ARZUMANYAN and explained the reason for the visit. The LPAs 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 home located in the back of the property consisting of 2 separate buildings with separate addresses. The home consists of a living room, dining room, kitchen, a den, 5 bedrooms and 4 full bathrooms.

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 1:45 p.m., smoke detector(s) and carbon monoxide detector were tested and operational at the time of the visit. The fire extinguisher was observed fully charged and purchased on 08/02/2024. The LPAs observed required postings throughout the common space. The last emergency disaster drill took place on 07/15/2024. Activities were observed in the common areas.

KITCHEN: The LPA inspected the kitchen/food service area at 11:05 a.m. Knives and sharps were observed in a lock box in a drawer. Kitchen appliances were in operable condition. 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 114.8 degrees Fahrenheit at 11:09 a.m. Complete first aid kit and manual was observed at 11:06 a.m. LPA observed an adequate amount of emergency food and water in the food pantry.

Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction