Facility Evaluation Report

Licensing Program Analyst(s) LPA Mary Flores conducted a plan of correction (POC) visit at the facility for deficiencies given on 9/1/21. LPA Flores met with Tina Arutyunyan administrator and explained the reason for the visit.

On 9/1/21 LPA Flores conducted a complaint investigation visit and conducted a physical plant review. During the visit LPA cited type A deficiencies due on 9/2/21 and type B deficiencies.

Today's visit LPA Flores conducted a POC visit to cleared the deficiencies due on 9/2/21 and 9/7/21.

The following type A deficiencies were cited on 9/1/21:

87303(e)(2) - Maintenance and Operation - Facility's water temperature was tested at 145 degrees F in bathroom #1 and 144.5 degrees F in bathroom #2. LPA Flores measured water temperature in bathroom #1 and tested at 118.8 degrees F and bathroom #2 tested at 117.5 degrees F.

87355(e)(1) - Criminal Record Clearance - Staff #2 was observed working since 8/20/21 and does not have a criminal background clearance. LPA Flores observed staff leave the facility during the visit of 9/1/21 and did not observed staff working at the facility.

87303(a) - Maintenance and Operation - Resident #3's dresser and closet door are not in good repair, and living room smoke detector is not working. LPA Flores observed dresser in room #5 removed from room, receipt for purchased dresser was email to LPA during the visit, closet door was repaired and smoke detector was tested and working properly.