Facility Evaluation Report

LPA Hiratsuka, conducted this unannounced annual visit. LPA toured with Caregiver Tina Daughter, and House Manager Jessica Burwell the visit with LPA.

This facility has three buildings for residents. The main building has ten rooms that are shared, the main common areas, food storage, kitchen, and dining areas. A second building in the back has three client rooms that are shared and two private rooms, and the third building for residents has two resident rooms which are shared. In the main building some resident rooms have private full bathrooms, several common full bathrooms, locked cabinets and closets for records, cleaning chemicals, and medications. The other buildings have full bathrooms for the residents. There is a separate building for laundry.

Resident and staff records were reviewed.

The following shall be updated and submitted to Community Care Licensing by 10/15/2023:

-LIC 500 facility personnel or staff schedule

-LIC 308 designation of administrative responsibility