Facility Evaluation Report

LPA Hiratsuka conducted this unannounced annual visit.

This facility has a fire clearance for six non-ambulatory. There are currently three residents in care. All resident rooms and common areas were inspected. The backyard was inspected. There is a pool in the backyard that has a fence and is locked. There are several locked sheds in the backyard. Three resident records and staff files were reviewed.

The following shall be updated and submitted to Community Care Licensing Division by May 3, 2024:

-LIC 308 designation of administrative responsibility

-LIC 500 facility personnel or staff schedule