Facility Evaluation Report

Licensing Program Analyst (LPA) Angela Barutyan conducted a pre-licensing visit to the facility noted above at 10AM. LPA met with Applicant Jagdeep Singh and Applicant Representative Ravleen Kaur. The applicant has obtained fire clearance for a total capacity of six (6) residents.

LPA inspected facility for Fire Safety, Personal Accommodations and Services, and Food Service. The facility is one story. The facility has six (6) private resident bedrooms and one (1) staff bedroom. All resident bedrooms are cleared for bedridden. The hard-wired smoke alarms and carbon monoxide detectors were tested and function properly. LPA observed one (1) fire extinguisher to be fully charged and purchased on 03/01/2024.

LPA toured the kitchen area at approximately 10:02AM. The hot water temperature was measured in the kitchen sink, and it measured 108.1 degrees Fahrenheit. Appliances and all equipment appear to be clean and in good repair. The kitchen has a sufficient supply of plates, cups, cookware, and utensils. Kitchen knives and sharps will be locked in a drawer by the sink. LPA observed sufficient non-perishable food supply.

Resident bedrooms are equipped with clean mattresses, pillows, and bedding. Bedrooms have sufficient lighting. There is a sufficient supply of linens, including blankets, bath towels and wash cloths. The facility has six (6) bathrooms for resident use. All bedrooms have an attached half-bathroom except for Bedroom #2 which has a full bathroom adjacent in the hallway for resident-use and showers. Bathrooms contained appropriate non-skid surfaces and grab bars. Hot water temperature was measured in all bathrooms, and they measured between 105 – 120 degrees Fahrenheit, which is within the required range. LPA observed trash cans with tight fitting lids at the time of the visit.