Pre-licensing visit·January 27, 2022

Licensing Program Analyst (LPA) Wendell Smith conducted a Pre-Licensing Visit. LPA met with applicants at the facility. Facility is fire cleared for five non-ambulatory and one bedridden resident. Bedroom #3 is to be used for the bedridden resident. Facility has four bedrooms and two bathrooms. All four bedrooms were appropriately furnished. LPA observed the bathrooms to have grab bars and non skid material. One bathroom is the hallway and the second bathroom is in room #3. LPA observed the kitchen to be prepared to store and serve food. All knives and sharp objects were locked away and inaccessible. There is a fully charged fire extinguisher next to the kitchen area. LPA observed the common area to be appropriately furnished and clean. Comfortable temperature was observed throughout the facility. LPA observed the facility to have extra linen and blankets for the beds. LPA observed the smoke detectors to be working properly. LPA observed a carbon monoxide detectors in the living room area and in the hallway near the bedrooms. LPA checked the backyard and observed it to be free of clutter and debris. LPA observed there to be pool in the backyard which is gated and locked which is inaccessible from clients. LPA observed appropriate exit signs and postings throughout the facility. There were hand-washing and sanitizer stations in the common areas for residents, staff, and visitors to use. Sonia Gevorkyan will serve as back up administrator and will need to be associated to the facility. The facility telephone number is 818-678-9858, fax number is 818-678-9683 Exit interview conducted. No further action is necessary. LPA will notify Central Application Unit and they will notify the applicant when it is ready to be licensed.