Facility Evaluation Report

Licensing Program Analyst (LPA) Brian Balisi arrived at the facility unannounced to conduct a required annual. This annual had a specific emphasis on infection control practices and procedures. Upon arrival LPA met with Licensee Pam Hashemi and explained the reason for the visit.

LPA toured the physical plant areas inside and outside to ensure there are no health and safety hazards and facility is in compliance with Title 22 Regulations. The carbon monoxide and smoke alarms were tested and all functioned properly. The fire extinguisher was fully charged and purchased in June of 2021.

Kitchen: The kitchen appeared clean and the appliances and fixtures functional. LPA found a sufficient amount of perishable food stored in the fridge and non-perishable food properly stored in a pantry on the exterior of the kitchen. Knives and sharps are stored in a locked cabinet to the left of the sink.

Bedrooms: There were (4) bedrooms total with (1) bedroom designated for staff use. LPA observed staff room to be locked and empty at this time. At approx 11:10am, LPA observed (1) resident having lunch in their room. All bedrooms for clients use were properly furnished and had appropriate bedding and linens.

Bathrooms: There were two bathrooms designated for clients' use. Both bathrooms appeared clean, properly supplied and had functional fixtures.

Common Areas : These included the living rooms and dining areas. The common areas were properly furnished. At approx 11:15am, LPA observed (2) residents watching television in the living room. Properly labeled medications were observed to be locked in a cabinet in the hallway next to garage door.