Facility Evaluation Report

LPA Hiratsuka conducted this unannounced annual visit.

This has a fire clearance for four non-ambulatory and two ambulatory residents. There are two staff rooms and four resident rooms. There are two full common bathrooms and one resident room has a full private bathroom. The common areas are clean and well maintained. The backyard has shed for storage and a gate on both sides that lead to the front.

The following shall be updated and submitted to Community Care Licensing by 10/25/2023:

-LIC 500 facility personnel or staff schedule

-LIC 308 designation of administrative responsibility