Pre-licensing visit·July 16, 2021

Licensing Program Analyst (LPA) Agard, conducted an announced visit to the facility for the purpose of a Change in Ownership pre-licensing evaluation. An application was submitted to CCLD on 01/21/2021, for a change in ownership for a Residential Care Facility for the Elderly to serve individuals ages 60 years and older. The requested capacity is for 127 of which 118 can be non-ambulatories and 9 can be bedridden. Facility is approved for 20 hospice residents. Structure: Facility has 80 units, and approximately 86-bathrooms, is five stories tall with a basement garage. The facility is a beige in color structure with a gym/ physical therapy room, bistro, formal dining room, theater, a restaurant style kitchen, and two elevators. There is a large patio area on the 3 rd floor and other sitting areas on the 1 st floor. The resident bedrooms are spacious and will easily accommodate the furnishings. All walkable areas were observed clear and free of any hazards. Bedrooms: There shall be no more than two residents per bedroom. All Bedrooms are approved for non-ambulatory residents. Facility does not provide furnishings for all residents’ bedrooms but does offer rental services for residents that wish to have a pre-furnished room. Bedrooms are large enough to accommodate furnishings. Bathrooms: All bathrooms have a working toilet, wash basin, bathtub/shower. There are approximately 6 half baths in the common area. LPA observed bathrooms that will accommodate non-ambulatory clients in a wheelchair. Linens & Hygiene Supplies: LPA observed a stage bedroom with the required linen/supplies which include, pillowcase, mattress pads, fitted sheet, blanket and bedspreads. Facility generally does not provide linen or hygiene supplies unless requested. Emergency Phone Numbers, Exit Plan & Menu: Facility has a dedicated landline. LPA observed a fire extinguisher located in the kitchen mounted on the wall, and several others observed throughout the facility. Food Service: Dishes, cups and flat ware are stored in the kitchen. LPA observed staged dish/flatware that were in good repair. Knives, cutlery and other sharp kitchen utensils are stored inaccessible to the residents in care. Food supply adequate and stored in kitchen and consists of more than 2 days’ worth of perishable and 7 days’ worth of non-perishables. A variety of food options was observed on a menu in the dining room. Smoke Detectors: Electrical & connected. Carbon monoxide detectors operational. Fire inspection was conducted on 04/13/2021 Appliances: Stove burners, oven, microwave, washer, and dryer are in working order. There is one large refrigerator, and freezer in the kitchen. Each set at an appropriate temperature for food storage. The residence is equipped with central air and heat and each resident bedroom is individually climate controlled. Toxins: Locked/stored Water Temperature: Tested at 113 degrees. Medications, First-Aid Kit & Book: A first aid kit is available which has at least the following items: thermometer, tweezers, scissors, antiseptic, bandages, gauze and current first aid manual, which are stored and available for staff use but inaccessible to residents. Resident & Staff Files : Staff and resident files are stored digitally /or hard copy in Administrative office’s and inaccessible to other staff and residents. Facility does not manage residents’ funds. Reading Material, Games, Equipment & Materials: The facility has board games, books, and other recreational materials for the resident’s use, commensurate with the plan of operation. Pool/Jacuzzi & Pets: None. Fire clearance: Facility has been cleared with the following special conditions, approved on 04/13/2021. A capacity of 127 residents of which 118 can be non-ambulatory and 9 can be bed-ridden. Component III: Conducted at the Pre-Licensing visit, information provided about how to operate the facility within substantial compliance was done for SUNRISE OF BEVERLY HILLS on 07/16/2021 An exit interview was conducted, and a copy of this report has been furnished to the applicant representative. Accordingly, LPA will submit a copy of this facility evaluation report to the Central Applications Unit (CAU) for review. If the applicant has questions regarding the status of the application, they have been instructed to communicate with the CAU Analyst assigned to their application.