Facility Evaluation Report, 11/15/2023 — Shalom Elderly Care, INC. 5, Woodland Hills CA

Licensing Program Analyst (LPA) Sandra Urena arrived unannounced to conduct a required annual visit. The LPA met with Administrator Doris Almario and explained the reason for the visit.

The LPA and the Administrator 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: Knives and chemicals are locked inaccessible. Kitchen appliances were in operable condition. The facility has a sufficient supply for two days of perishable and a seven day supply of non-perishable food. The hot water temperature measured at 109.8 degrees Fahrenheit. Laundry room is adjacent to the kitchen. Washer and dryer were functioning at the time of the inspection. Cleaning supplies and disinfectants are kept in locked cabinets in the laundry room.

BEDROOMS: The facility has six private resident bedrooms and one staff room, all which were furnished appropriately; beds had clean linens and rooms had sufficient lighting. All direct exits were clear, and no obstructions were noted.

RESTROOMS: Three out of six resident rooms have a private restroom inside the room and three have restrooms outside the rooms. One common restroom is located by the laundry room. The restrooms were clean and sanitary with grab bars and non-skid surfaces. Water temperatures measured between 105.5- and 109.3-degrees Fahrenheit. Restrooms were fully stocked with hygiene paper and paper towels. Hand-washing signs were observed.

COMMON SPACES: At the time of the visit, living room and dining room furniture was observed to be in good condition. There is a fireplace in the living room, which is screened and inaccessible. The facility maintained a comfortable temperature of 73 degrees. Smoke detector(s) and carbon monoxide detector were tested and operational at the time of the visit. The two (2) fire extinguishers were fully charged and were last serviced on 10/15/2023. The LPA observed required postings throughout the common space. Continues on LIC 809C...