Facility Evaluation Report

LPA Hiratsuka, conducted this announced prelicensing visit. LPA wore a surgical mask and facility representative did as well. Applicant was unable to make this visit but he sent an authorized representative.

This facility has a fire clearance for three ambulatory and one non-ambulatory residents. The main entrance opens into a small foyer. To the immediate left of the entrance is the non-ambulatory room and a full common bathroom. To the right of the main entrance leads to the rest of the facility. It opens to a large common area and kitchen. To the right of the main common area is a hallway leading to three private resident rooms, one full common bathroom, laundry room that leads to the garage, and one staff room. The staff room has a full private bathroom. There are locked cabinets in the kitchen for medications and sharps. There is a door leading to the backyard from the main common area. The gate is on the same side as the garage.

LPA is waiving the component III orientation because Applicant and Facility Representative own and operate several other facilities.

This facility does meet regulations and LPA is going to submit this report to the application specialist.