Facility Evaluation Report

On 12/24/2024, Licensing Program Analyst (LPA) Arielle Pascua arrived announced to this facility to conduct a Pre-Licensing visit. LPA met with applicant, Aamir Khan and explained the purpose of the visit. The purpose of this visit was to conduct a pre-licensing visit.

Current census was 0. A brief interview with applicant Khan was conducted.

This facility will hold 4 ambulatory residents. This facility also plans to hold and accept Level 4I level Residents from Valley Mountain Regional Center.

LPA Pascua initiated a tour of the facility with Applicant, Aamir Khan. The applicant has an active adult residential administrator certificate #6069300735 and expires on 04/10/2026.

One fire extinguisher was placed in the living room and was serviced on 07/10/2024. Smoke detectors and carbon monoxide detectors were located throughout the facility and were observed to be functional and in compliance at this time.

All rooms designated as activity areas and common areas for resident use were toured. Furniture and furnishings were observed to be present and sufficient to meet the needs of the residents at this time.

Office rooms and other areas intended for resident use were toured.

Kitchen area was toured. Facility freezer and refrigerator units were toured. LPA reviewed the food storage supply to make sure that there was always a 2-day perishable and 7-day nonperishable food quantities on site at all times. Knives were observed to be locked and made inaccessible. An additional pantry was identified to store additional non-perishable food supplies.

Storage area for chemicals and cleaning supplies were observed to be locked and made inaccessible to the residents at this time.

A tour of 4 resident bedrooms was conducted. Furniture and furnishings were observed to sufficient and able to meet the needs of the residents at this time.