Facility Evaluation Report

At 9:30 AM, Licensing Program Analysts (LPAs) Nadia Shahbazian and Mariana Agban conducted an unannounced mandated annual inspection of the facility. LPAs met with the administrator, Nathaniel Hemedes, and explained the reason for the visit. At 9:45, a tour of the facility was conducted with the Administrator, and LPAs observed the following:

The facility's total capacity is approved for six (6) non-ambulatory residents. The current census is five (5) residents.

Kitchen: At 9:45 AM, LPAs toured the kitchen area and observed enough supplies of staple non-perishable for a minimum of 1 week and perishable for 2 days at the facility. All knives and sharps were observed to be locked in a kitchen drawer. The medications cabinet was locked. LPAs observed a roach on the kitchen wall by the food table. LPAs also observed medications in the fridge without being locked. LPAs also found bags of medications on the floor. The administrator stated that those medications will be destroyed. Under the sink cabinet LPAs found chemicals were unlocked.

Laundry: The laundry is located between the kitchen and garage. LPAs observed unlocked laundry detergents accessible to residents in the laundry room. LPAs observed a fire extinguisher hanging on the wall purchased on 08/12/2019. Administrator was advised to buy a new fire extinguisher.