Facility Evaluation Report

LPA Hiratsuka conducted this announced prelicensing visit. This is a change of ownership application. LPA met with Applicant Kai Page.

This facility has a fire clearance for five ambulatory residents. This facility has four resident rooms and one staff room. The staff room has a full private bathroom. There are two full common bathrooms. One of the full common bathrooms also has the clothes washer and dryer in it. There is also an office that has locked cabinets for medications and has storage space in it. There is an ample supply of perishable and nonperishable food. There are two sheds in the backyard.

Component III orientation was conducted today.

This facility meets regulations. LPA is going to submit this report to the application specialist.