Facility Evaluation Report

LPA Hiratsuka, conducted this unannounced annual visit. LPA wore a surgical mask and observed all staff wearing one. Administrator arrived shortly after LPA arrived and completed the visit. Caregiver screened LPA upon entering the facility.

This main entrance opens to the first of two sitting areas. To the right of the main entrance is a very short hallway that leads to two private resident rooms. The larger of the two rooms has a full private bathroom and a sliding glass door leading to the backyard. To the left of the main entrance is a nook that is used as an office space. To the left of the first sitting area is a hallway leading to two private resident rooms, a full common bathroom, and a laundry room. To the left and rear of the main entrance is the kitchen and the second sitting area that has a door leading to the backyard. The backyard has a locked shed. There are locked cabinets for medications and confidential files.

LPA reviewed three of four resident files and two staff files.

A couple of topics were discussed with the Caregiver and Administrator.

The following shall be updated and submitted to licensing within 30 days;

LIC 500- facility personnel or staff schedule

LIC 308- designation of administrative responsibility