Facility Evaluation Report

Licensing Program Analyst (LPA) Abeye Duguma, Perchui Milena Khurshudyan and Angelica Segovia met with the Executive Director, Ivan Saa, for a Required One (01) Year visit. LPA explained the reason for the visit. A tour of the physical plant was conducted at around 10:00 AM and the following was noted:

There is one main entrance being utilized at the facility. LPAs toured a random selection of resident rooms. All bedrooms were properly furnished and had appropriate bedding and linens. There were bathrooms in each of the resident rooms. Bathrooms were properly supplied and had functional fixtures. Hot water temperature measured between 106.4 and 118.5 degrees Fahrenheit.

The facility is fire cleared for one hundred twenty of which one hundred (100) may be non-ambulatory and twenty (20) bedridden and a hospice waiver for twenty (20). The facility is currently occupying ninety-two (92) residents.

The facility has outdoor furniture with a covered shaded area for residents and visitors. The facility does not have a swimming pool/body of water. The garage is currently being used for parking. Laundry detergents, cleaning agents and other toxins are locked away.

Kitchen is sufficiently stocked with at least two (02) days perishable and seven (07) days non-perishable food. Frozen foods are wrapped and stored appropriately. Food storage and preparation areas are clean and inaccessible to pests. Knives and sharps are observed to be locked and inaccessible to residents.