Facility Evaluation Report

LPA Hiratsuka conducted this unannounced prelicensing visit. LPA wore a surgical mask and observed all staff wearing them. LPA toured the facility with Site Supervisor Melanie Byrd.

This facility is undergoing a change of ownership. It currently has residents in care. This facility has a fire clearance for 70 non-ambulatory residents. This facility has two buildings.

The smaller building has 12 resident rooms that may be shared, a small laundry room and a room that has a sink and is going for storage. The rooms either have a private half-bathroom or some are set up where two rooms share a half-bathroom. There is a covered area that is between both buildings.

The main entrance is in the main building. The main entrance opens to a foyer that has the medication room to the right and the dining and kitchen to the left. The first hallway to the left is going to have two offices, the laundry room, and a break room. The first hallway on the right are two large common rooms, a conference room, and another office. The main building currently has 23 resident rooms that are all going to be shared. The rooms either have a private half-bathroom or some are set up where two rooms share a half-bathroom. The hallway down the middle leads to a second hallway on the left and a second hallway on the right which are all shared resident rooms. There are two common half bathrooms in the middle hallway. There are two common shower rooms. Outside was inspected. There are two enclosed areas and one leads to the second building.

The facility sketch submitted by the applicant does not match what the layout of the facility is. The facility sketch states some rooms are private and some are shared which does not add up to 70 residents. And the sketch does not show that two rooms on the left are going to be offices. LPA spoke to Site Supervisor and she indicated all resident rooms are going to be shared, which matches the capacity requested and the fire clearance that was granted.