Facility Evaluation Report

Licensing Program Analyst (LPA) Abeye Duguma met with Peter Babaian for a Required One (01) Year visit. LPA explained the reason for the visit. A tour of the physical plant was conducted at around 9:30 AM and the following was noted:

There is one visitor's entrance being utilized at the facility. The facility has twenty-nine (29) resident bedrooms with restrooms, common showers and bathrooms. The cottages are located across the back yard and each have four (04) bedrooms with a shared bathroom. The facility is fire cleared for sixty (60) residents of which forty-nine (49) may be non- ambulatory and four (04) may be bedridden in rooms #11 and 28. The property also has two (02) cottages, #1511 and 1515, reserved for ambulatory residents only and has a hospice waiver approved for six (06). The facility is currently occupying fifty-three (53) 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. 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.