Facility Evaluation Report

LPA Hiratsuka conducted this unannounced annual visit. LPA met with House Manager Deshawn Cook. All the residents were attending day program.

This facility is connected to the living quarters of the caregiver by a door inside. The living quarters of the caregivers has an entrance and the facility portion has its own entrance. The entrance to the facility is on the left of the building. The main entrance to the facility opens to the main common area. To the right of the main entrance are two private resident rooms, a small sitting room that has a door connecting to the caregiver's side, and the full common bathroom. To the left of the main entrance is a doorway that leads to a small common room that connects to two private resident rooms and a staircase leading to a room with a full bathroom. The staircase and the area it leads to is off-limits to the residents. The main common area has a dining area and kitchen.

Multiple topics were discussed during this visit. LPA informed House Manager that the Individual Program Plan (IPP) can be used in place of Title 22 regulations for appraisal, re-appraisal, functional capabilities, and needs and services plan. The forms are permitted, but not required by Title 22 regulations.