The facility is licensed to operate for six (6) non-ambulatory and a hospice waiver for four (4) residents. The facility is a single-story structure located in a residential neighborhood. It consists of the following: five (5) bedrooms, three (3) bathrooms, living area, dining area, kitchen, an attached garage, and outside covered patio area.

LPA Kim toured indoor and outdoor of the physical plant with AD Gheorghe. There were no bodies of water or obstructions on the premises. All rooms were inspected. Beds and bedding supplies were in good condition, adequate lighting was provided, storage for each resident’s personal belongings was observed. Bed linens, comforters, and bath towels were adequately stocked at the time of visit. All bedrooms were inspected: Resident Room 1, Resident Room 2, Resident Room 3, Resident Room 4 and Staff room 1. Bathrooms were found to be within Title 22 regulations and were clean and operational. A comfortable temperature of 77 degrees F was maintained in the facility.

LPA Kim observed the facility to be sanitary and appropriately furnished at the time of visit. Storage areas for personal hygiene, cleaning supplies, toxins, and sharps objects were stored and not accessible to residents. The kitchen was inspected and there is a two-day supply of perishable and seven-day supply of non-perishable food available and maintained properly. Emergency supplies were in order and complete. The facility has two (2) fire extinguisher that was charged and serviced on March 1, 2024. The smoke detectors and carbon monoxide detectors were operable. A working telephone (714-519-3082) remains available. First aid kit was in order and had all the necessary elements.

Evaluation Report Continues on LIC 809-C

An exit interview was conducted, and a copy of this report was provided to Administrator Florica Gheorghe.