Facility Evaluation Report

On 10/03/2023, Licensing Program Analyst (LPA) Arielle Pascua arrived announced to conduct a Pre-Licensing Visit. LPA met with applicant, Kalven Goreal and explained the purpose of the visit.

The facility intends to hold 6 elderly residents, all of which may be non-ambulatory. This facility has a dementia plan on file.

Facility Designated Administrator has a current and active certificate #6031018740 and expires on 12/23/2023.

The fire extinguisher, located throughout the facility was serviced on 08/17/2023.Carbon Monoxide and fire alarms were present and in good repair.

Common areas for resident use were toured. Furniture and furnishings were observed to be present and in compliance.

A tour of the bathrooms was conducted. Hot water temperatures were taken to ensure that the hot water being dispensed was within the allowed range of 105-120 degrees at this time. Grab bars were present and functional.

Resident bedrooms were toured. Furniture and furnishing were observed to be present and in good condition.

A linen closet was located in the hallway. LPA observed a sufficient amount of linens at this time.

The kitchen area was toured. Facility freezer and refrigerator showed to be functional and in compliance at this time. A tour of the pantry was conducted. LPA observed that there was a 7-day nonperishable food supply at this time.

Garage area was toured. Laundry detergent and cleaning supplies were locked and made inaccessible at this time.

This facility will be using a medication cabinet which was located in the kitchen.

First aid kit was observed to be present and contained all of the required components at this time.