Facility Evaluation Report

Licensing Program Analyst (LPA) Tihesha “Lynn” Smith conducted an unannounced One (1) Year Required Infection Control visit to this facility at 9:20 am. LPA was greeted by staff: Glorie Yakamavua. LPAs temperature taken upon. LPA explained the reason for the visit. Administrator Yeranuhi Ghazaryan was called and arrive at 10:07 am.

LPA conducted a tour of the physical plant at 10:45 am to ensure there are no health and safety hazards and facility staff are following Title 22 Regulations and the following was noted:

The facility had a Mitigation plan and copy sent to LPA Smith by email.

Covid signs on front door, hand washing, coughing etiquette, physical distancing, and other necessary signs were posted in the bathrooms and all over the facility.

Facility has five (5) bedrooms: four (4) bedrooms for clients and one (1) bedroom designated as staff room. There are two (2) bathrooms: both located in hallway near bedroom #4. There is no body water in the facility. Bedrooms were toured and observed to be clean and properly furnished. Linen storage: clients have extra linen in their closets.

Bathrooms were observed to be clean and sanitary with necessary supplies. Hot water temperature at 115.1 and 115.2 degrees Fahrenheit.

Physical plant was checked for cleanliness and condition. Facility was in good repair and observed to be clean and free of clutter during today's visit.

Living and dining room furniture were also checked for functionality (wear and tear). Furniture was observed to

be in good condition and adequate seating for clients.

Kitchen area was observed to be clean and sanitary. All the toxins are locked in cabinet under kitchen sink. Sharps are locked in cabinet above stove. Laundry area accessible through kitchen observed to be clean and appliances in good repair. Laundry detergents and cleaners locked in cabinet above dryer.