Pre-licensing visit·June 18, 2025

On 06/18/2025 at around 10:00 AM Licensing Program Analyst (LPA) Antonine Richard conducted an announced visit to the facility for the purpose of a pre-licensing evaluation. LPA met with the Administrator Bangash Farah and staff Maria Bangash. On 03/04/2024 an application was submitted to CCLD, for Initial license for a Residential Care Facility Elderly (RCFE) to serve resident ages 60 and above. The facility was approved for a capacity of 6 ambulatory residents, zero (0) non-ambulatory and zero (0) bedridden residents in this facility. The facility is a one-story house located on a residential street. The facility is composed of 3 bedrooms, 2 bathrooms, 1 kitchen/common room area, 1-dining room, 1 backyard, 1 detached garage and 1 storage room. LPA conducted a review of the Physical Plant, Bedrooms, Bathrooms, Supplies, Food Service, Medications, Records, Administration, Activities, Pe-Licensing Checklist and Component III Orientation. PRE-LICENSING CHECKLIST LPA observed ample supply of clean linen. There is 1 fully charged fire extinguisher located in the living room areas mounted on the wall. LPA observed a 7-day supply of nonperishable foods and 3-day supply of perishable foods, 1 fully stocked first aid kit with tweezers, scissors, band aid, gauze, antibiotic ointment and manual, all exits are marked, hallways and passageway are clean and clear of clutter and obstructions. The front and back yard areas are well maintained. No bodies of water nor firearms are on the property. Bedrooms Residents: Bedrooms 1-3 have working lights, new blinds and working windows with no bars. All Bathrooms have a working toilet, wash basins and shower, and observed to be clean, safe, and sanitary. LPAs observed adequate lighting in throughout the entire facility. Linens & Hygiene Supplies: Extra linens are in hallway closet. Living room is fully furnished with sofa, 2 chairs, coffee table, and mounted TV. There is adequate space for activities. Smoke Detectors: Facility has 6 smoke detectors/carbon monoxide detectors are hardwired and interconnected. They were tested and operable. Water Temperature: Tested at 115.1 degrees F. Clients & Staff Files : will all be stored in locked area in the living room. Medications : There is a locked centralized storage area for resident medications. LA City Fire Department clearance granted on 11/20/24 with approval for (6) ambulatory residents 60 and above. COMPONENT III COMPONENT III Information was provided about how to operate the facility within substantial compliance. There are no corrections needed. An exit interview was conducted, and a hard copy of this report has been furnished to the applicant. Bangash Farah 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 the applicant.