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<br />. STATS OF c.:J...lFORNJA. HEALTH AND WC-Li'ARE AGE.NcY <br /> <br />. FACILITY SKETCH (Floor Plan) <br /> <br />DE?'ARThI~ OF saCI; <br />COMMUNITY CARE l1c: <br /> <br />r.;? <br /> <br />l'". "'1' ;' ~, <br /> <br />Applica.nts' ar~ required to proVide. a sl<:~tch of the floor 'plan of the home or facility an"d oLitsid~ yard. The Roor Sketch m <br />rooms such as t~e "kitchen, bath, ,living room.l ,.etc. qircJe the names of the. rooms that will be used by st~~;re~jdentsJciients; <br />Door an"d vvindow ~"its from the roorris must be .shown in 'case of an emergency (see ~merg=ncy Disaster Plan). Show ro( <br />(s.c. 8.5 X'12). KeeD close to scale. Use the soace berow~ See back for Yard Sketch. _ .._ <br /> <br />. FACu.rTYNAM'" Kj asP'lIlnd; (Me-aM ThUSL) <br /> <br />UCS99 (7/'9SJ <br /> <br />IA.5r~b ~er-lQ"E;$JQE>IR. P!.~'FOrJ <br />~ '4-588 <br /> <br />U ;iiTTiTi--f-rr -.' n' ..... "'::L ........ ;.+HJ, . <br />I I 1" I . : I ,-f-+-rTiITt;"ITw~t-~-~ -: rJ ~ hi,tti-H " " I: : -f-J H-: ' . <br />i :u.: i! Ii' L:c'.~,' . I ' ,'~ , I""'!"" ': .;;. I, ..'.. i . <br />H=J-'~-! t~ i : ~ , .it! l4-j:L+-T~~~~:RiA!t~~ I-i-l-.t-! t-~~t.- i+.r :~~-i , :1:..; . -i-h <br />LH..J-=H--Ll.l.L_Lf-i_LL.i-W+ i -i..Jt....J -4 ~L.LL.LL;:l:\...~y-4Ec;Wt\-41r.i .; .L..!..J.._L. 4J <br />h: ':" I;~' : .; I' " ,: r+ H+ : ; H H-~~ FT ;1" ,", :: ::'f:: +'-f-' : <br />: f+ H: . I i ': :-~-H-+ : : :., ,~ i~ ~~Sj8HT/': :;:: i : ! ' . ., , , <br />. -;-;--' 'i . I . '-!-_L..!_"'_'-'-;-;-r..1.--'-.J,.U'-~'-!f-'-,.._,_L~.L'_'i-~-i._"_"I'_'_"_--"'+"O*.",f-~ ~;:;,-; <br />H-h' ; + '-1- I +++ '. : f-L ~ : : i I i :+H ' I , , , .. f..' ", "1"". (y,' <br />tJ'l ,-?, :_.. .~;.., I j 1Jr.:. I.; .J--1=LN ~; i+ -+' i 'M'~~-f!1~9R: '..i i J-B_ <br />: fJ"O i 1 '~ i rr Irr i%V.L...b.1 ;; I I I : :l-~I--)~ j, : I : i : I - <br />; I ' I '-i- .;4+t~;., ~ I Il, I I I ;, I I , <br />:j -i:-.;....~..,.Lt '1[ 1-' ;--f~ y. '.b-,,;(,r~i -I ' I : , ;, :' .t, :' '_;~ __. <br />[I i- ~ ',' "'; ri- -1 I'j: ,;, ;: -j i ;- , I, -I - i I I --j--; <br />fl.-i--.f' ;1.; ,:',+i,:-j,'+"""' :'H;;~"".lj'J'H:'i:::""~~ <br />,_L__. -;_.1 L;. .lCon -;---;....~f--.".....;...-~'-l '--'.--'--.'. '.~."T-";+-'------'-i-1-"7 L---' <br />' I' ; I 'I' , I '; ", I , , I" I", I ;, ", ';";"'" ... ""' : <br />' I ,\.I(J', I , I, I' , I' Ii, . I . ' I ' I <br />, I .L ---7-,' J.';. ~,,_, , -'--L. D I I i I I I '.. n I, I ~ <br />LJ..J.... ,"""'IT Tl , Tl, ,I I, I', I , 'I 'I' I I! .~ <br />; I I " "IT, r I I " I' iT,ll, 'I! 1 i ~ <br />-.s.......U' 1 I, , .. IJ..J...' .l~L~'~:; '.'_ I"~ <br />~ tJ.,l iLJ~j-= ..I. I~ T 1 I' - I '):;;'-!i' q~.J " . i.1.L-' J-'--'-'~~-Y <br />,'1, " ", ." I', lic-...J'/Tl.{r'I"'.,.n ,,,,,,,,,,,,-,:;;1 <br />I I I I I, ., I I I '_';1,..JV If , ~,I , ,. iI:i _~ ; <br />! I; j I I .lilOIJlil""/'..A'-LJ_ln r . , jl <br />n ' ,-" I " ,." . 'J I ; -1', '~1'"k+' Tf' if" Ii-r r i ;; , - /. <br /> <br />; I r~' ;--1 "I Ii : r : ~~:, -r : : :: ' I ' , :' I: +- ' ; , ~Tt-+i T- } <br />i-+-~!-j I ''-:1,; ! ;, /1/1 ' I . ; 1.'_ 11; ; (..1. I ; '. It--!i ,_ I V <br />:.; il! ,'.j !: !!,n:..I-i.-:-i-.T"--i i!_~ :~;!I / <br />" --D ~ :' :~F.i L+--t:H+H-; .L~~:.:r tl: tJ.: U ~~ ; ; 1.a^~M 18 <br />rTT I ; i .; I n=-':Ci'~n-;-, I . i).l7,-~-n ,i 1-' tr. &EibI~ .vI <br />fT, I I, "I' '..1..": '; ~"'f"TI"I''''''V~', I f-,. . r,' '-",..J~;~,'i' 'V;' <br />'-Ll:. II I! ;-r""f.uJ!"; , I I.' 11'~,"l''!''Y ~, p ;].-) <br />; I; 'I i ~Jl ill"'-' '.l1'J..-j'';:'U i..L.L.J r, , I ; !IT! ,r '-+ _. ' 'l; I' , ....L.J.V, <br />rTl 'I r ! """. ~'1'!-c:l'" , IT , '! I !, I I' i 1 ; IIN" 1'-'--(, <br />i I I i I j Ii! ~ i ! !! j ., v; <br />; : 1 + ~+k +~~- I '" ...,.'......:'..~fll ;,3. :-'~+ :~'H : ; 'L-.i-fq !-H ; I -I- '- +-Hi ; Y. <br />.h i , Ii. ;; I , ;.... u" ii' , ii' I I ;" J 'L ~ ow <br />'R+RI I . . i"" "I '1">, 1'---'-'-'.'" i,; - .;....!.. ':,."-',.-+'.;, I; B IU,.1. ;!, '+1".1 ,.10\) <br />, ,,' '.....L.l.J I" I "';, I! I !,..,-,'; 'I ; , , I , rl, <br />i ! 1 i I j ; i--rTl j ! ! 1 ~ : j i : I ;: ~! j i":-r. j!! i i/ <br />j .!'iii i !,!I il jJ'-"~!.- i~ i.",'a!..! Y'i;L~f'~,;. 'i jjili I 1.-1 <br />i I! i I 1 I I ! l \.j . ,A..' .. ! i l.....i71 1 "j i"j"f I 1;P <br />: I fi ~ I I j i I! r! i I' i 1 i 1!!'1- f ,I' I );;.; -r j iT I I i 1 i <br />,"'i I hi i I j I I J '! I Ii! /... <br />! ( i lit i i I IIi I L-LLLi I; i Ii, I i I, rift <br />' 1. I';' II'. i.., '. ";'. .11" '. ! I ' '-'1 ; 'IT! I I, I' I (, <br />erli 1 'II...,.--;--r/, 1 -n ;lliy <br />tf. t 1r J; -~ <br />~ ! <br />~1I7' ." /' ~..I'.L..LU-LL[.(L.:!.LLL..L~~~//", h....I""y//",.....,..I',...,...../'"',y~ <br /> <br />':;' <br />,.... <br /> <br />~ <br /> <br />!> ~, ., <br />