Pre-licensing visit·May 29, 2025

Licensing Program Analyst (LPA) Angela Barutyan conducted a pre-licensing visit to the facility noted above at 10AM. LPA met with Applicant Ribka Brodt and Applicant Representative Donald Brodt. The applicant has obtained fire clearance for a total capacity of six (6) residents. LPA inspected facility for Fire Safety, Personal Accommodations and Services, and Food Service. The facility is a two (2) story home. The facility has six (6) private resident bedrooms of which two (2) are on the first floor and four (4) are on the second floor. All resident bedrooms are cleared for bedridden and have direct exits to the exterior. The hard-wired smoke alarms and carbon monoxide detectors were tested and function properly. LPA observed fire extinguishers to be fully charged and purchased on 03/26/2025. LPA toured the kitchen area at approximately 10:13AM. The hot water temperature was measured in the kitchen sink, and it measured 108.9 degrees Fahrenheit. Appliances and all equipment appeared to be clean and in good repair. The kitchen has a sufficient supply of plates, cups, cookware, and utensils. Kitchen knives and sharps will be locked in a drawer by the stove. Resident bedrooms are equipped with clean mattresses, pillows, and bedding. Bedrooms have sufficient lighting. There is a sufficient supply of linens, including blankets, bath towels and wash cloths. Bedrooms were equipped with functioning auditory exit alarms and bed sensor pads. The facility has six (6) bathrooms for resident use. All bedrooms have an attached bathroom. Bathrooms contained appropriate slip-resistant surfaces and grab bars. Hot water temperature was measured in bathrooms and were between 107.8-109.9 degrees Fahrenheit, which is within the required range. Report Continued on LIC 809C... Report Continued from LIC 809C... The living areas and dining areas are clean and properly furnished. All window screens and coverings are in good repair. LPA observed enough seating for six (6) residents at the same time in the dining room table. A working telephone is present. There are activity supplies. There is one (1) fireplace which was observed adequately screened. Night-lights were present in the hallways. Medications will be stored and locked in a cabinet in the kitchen. Facility records will be kept in the staff office on the first floor. First aid kit will be stored in the laundry room and was observed complete. Additional cleaning supplies, toxins, a washer and dryer, disinfectants, cleaning supplies, and an additional refrigerator and freezer were observed in the utility room. There will be no firearms/ammunition stored on the property. The facility has required postings, including Emergency Exit Plan, Resident Personal Rights, and Theft and Loss Policy. The facility is on the hillside and has multi-level outdoor passageways which were free of obstructions. There are no bodies of water on the premises at the time of the visit. LPA observed a covered outdoor area with a table and chairs for client use. Facility has an emergency water tank in the backyard. All exits had functioning auditory exit alarms. Physical plant is consistent with the submitted facility sketch/floor plan. Comp III conducted with Applicant. Pre-Licensing is complete and this facility has no deficiencies. This report will be sent to the Centralized Application Bureau (CAB). You will be notified by the CAB Analyst when your license has been approved. You are not allowed to begin operating until you have been notified that your license has been approved by the CAB Analyst. Failure to comply could affect approval of your license. Exit interview conducted. The report was reviewed, and a copy was provided.