Facility Evaluation Report

Licensing Program Analyst (LPA) Tuesday Cabiness. LPA met Administrator Emma Topadzuikyan and explained the reason for the visit. The current census is (5);

A tour of the physical plant of the inside and outside was conducted.

Kitchen: The kitchen was clean and the appliances and fixtures were functional. LPA found a sufficient amount of perishable and non-perishable food at the facility; and food was properly stored. The facility has (2,) extra refrigerators, stocked with food in the garage and backyard. Knives and detergents were stored in locked drawers and cabinets. Medication was labeled and locked in a cabinet in the living room. Bedrooms: There were (3) bedrooms; (2) shared and (1) private designated for residents. All bedrooms were properly furnished, with bedding and linens, as well as sufficient lighting. LPA observed all residents had full bed rails without proper documentation and not on hospice. Administrator will submit proper documentation to LPA. Bathroom: There were three bathrooms designated for residents. All bathrooms properly supplied with soap and towels, as well as functional fixtures; including grab bars. Hot water temperature 107.0 degrees Fahrenheit. Cleaning supplies were kept in locked cabinets Common Areas : These included the living room and dining area: all areas were clean and were properly furnished. Surrounding Grounds : Entry/exits were free of obstruction. The outdoor area was clean and free of hazards, with shaded furniture for residents. Swimming pool in the backyard was secured. All smoke alarms operating properly. Fire extinguisher fully charged. Staff records : (2) staff on duty during the visit, did not have records to be reviewed, and (1) staff did not have fingerprint or association to the facility. Both staff did not have first aid/CPR certificates during visit.