Facility Evaluation Report

LPA Hiratsuka conducted this unannounced annual visit. LPA toured the facility with Administrator Dante Ward. House Manager Marcel Love was also present during visit.

This facility has a fire clearance for four ambulatory residents. There are four private resident rooms and one has a full private bathroom. There is one full common bathroom. There is an ample supply of perishable and nonperishable food. The backyard was inspected. There is a locked shed in the backyard.

The following shall be updated and submitted to Community Care Licensing Division by April 17, 2024:

-LIC 308 designation of administrative responsibility

-LIC 500 facility personnel or staff schedule