Facility Evaluation Report

Licensing Program Analyst (LPA) Nune Margaryan conducted an unannounced annual visit using the Care Tool. LPA met with Administrator Christina Haddadin who assist with the visit. LPA explained the reason for the visit. The facility is licensed to serve (26) twenty-six adults of which (4) four may be non-ambulatory. There are currently 19 clients residing at the facility. The physical plant was inspected along with medications, food supply, and clients and staff records. LPA and Administrator toured the facility and inspected a random selection of client bedrooms, client bathrooms, kitchen, linen room, and laundry room. The patio areas are well maintained and there are no pools or large bodies of water. There is a shaded seating area for the clients located near the entrance of the facility. Passageways and exits are free of obstruction. Extra linens, blankets, towels, and personal hygiene supplies were observed in the linen room and in the garage area. The kitchen was inspected. There is sufficient perishable and non-perishable food. All the appliances are clean and working properly. Sharps are locked and are inaccessible to clients. LPA observed laundry detergent, cleaning solutions/disinfectants are stored and locked in the laundry and in the garage area. Multiple fire extinguishers observed in the facility fully charged. Carbon monoxide/smoke detectors observed in the hallway and in the client rooms are operational. The hot water temperature was tested and measured within Title 22 Regulation guidelines. Client bedrooms have the required furniture and sufficient closet space. The First Aid kit was fully stocked with all required items including a current manual. The medications are centrally stored in the office room and are inaccessible to clients.