Pre-licensing visit·May 18, 2021

Licensing Program Analyst (LPA) Aja Richardson conducted a Prelicensing visit at 9 am and met with the Administrator and applicant Vishtasb Kykhosrowpour. This visit is for an initial application for Residential Care Facility for the Elderly (RCFE) with a capacity of 6. Approved for 6 bedridden residents. At 9 am, a tour of the physical plant was conducted. During the visit LPA observed the following: KITCHEN: The facility is equipped with a spacious kitchen that is supplied with adequate dining and cook ware. Appliances and fixtures are clean and functional. The kitchen trash can was equipped with a lid. BEDROOMS: There are (6) bedrooms for residents in care. All six rooms are private rooms and cleared for bedridden residents. There are no staff rooms. All bedrooms were supplied with all required bedding and linens. There is sufficient lighting as well as closet and drawer space available. BATHROOMS: There are (4) full bathrooms. Bathrooms are equipped with toilet and shower grab bars. There is sufficient supplies of towels, paper goods and personal hygiene supplies. Hot water delivered between 107.1 and 109 degrees F. COMMON AREAS: These include a living space equipped with a television. There is a dedicated area for the posting of required documents in the dining area. Smoke detectors checked and is connected to carbon monoxide. Medication are stored in hallway closet and resident and staff files are stored locked kitchen. LAUNDRY ROOM: There is a laundry area equipped with washer and dryer in the attached garage. Detergents and cleaning supplies will be stored in locked cabinet in garage. SURROUNDING GROUNDS: The property is equipped with fencing and gates . There is furniture appropriate for outdoor use including a covered patio providing shade. There is a pool surrounded by a locked gate. At this time facility has passed prelicensing inspection, Exit Interview Conducted. Report emailed to Administrator.