Facility Evaluation Report

At 8:55 AM on 09/14/2022, Licensing Program Analyst (LPA) Rohit Lama conducted an unannounced visit to the pending facility for a pre-licensing inspection. LPA met with Gulvarg Kaur, Administrator.

This facility was previously licensed as St. Christopher Villa (Facility Number: 366 400 931) and is undergoing a change of ownership. The pending application is for a capacity of six (6) residents: five (5) non-ambulatory residents and one (1) bedridden resident in a Residential Care Facility for the Elderly (RCFE).

Fire clearance was granted by the San Bernardino County Fire Department for five (5) non-ambulatory residents and one (1) bedridden resident. There are charged fire extinguishers, operating smoke alarms, and carbon monoxide detectors. Emergency disaster plans, personal rights, and the Community Care Licensing poster were posted in a prominent area. The facility was equipped with a complete first aid kit and manual as well as emergency supplies.

LPA toured the facility inside and out. The following was observed, reviewed, and inspected:

The facility has 5 bedrooms, 4 of which are to be used for residents and one is to be used for staff. The facility also has 2 bathrooms, living room, kitchen, dining area, great room, laundry room, backyard, and attached garage.

The physical plant, in general, was in good repair. The buildings and grounds were free from hazards. Outdoor and indoor passageways were kept free of obstruction. LPA inspected the backyard. LPA observed. There was a shaded area with seating. There was no obstruction on the side yard exits. The gates remained unlocked.