Facility Evaluation Report

At 10:45 AM, Licensing Program Analyst (LPA) Huma Rahimi arrived at the facility to conduct an unannounced annual inspection. Upon arrival, LPA was greeted by the staff Leo Macam and the Administrator was contacted via telephone. The Administrator Jozam Batuian. Arrived shortly after and LPA explained the purpose of the visit. LPA and Administrator conducted a physical plant tour and the following was observed:

Kitchen: The kitchen appliances and fixtures were functional. LPA found a sufficient amount of 2-day perishable and 7-day non-perishable food at the facility; properly stored. Knives were stored in a locked cabinet in the kitchen.

Medications : Medication and Medication Records were reviewed for proper documentation. LPA review of Centrally Stored Medication and Destruction Records (CSMDR) for residents and did not observe any discrepancies.

Bedrooms: There are six (6) bedrooms of which four (4) are designated for residents' use. Three (3) of the bedrooms are currently occupied. One (1) room is currently vacant. Rooms occupied by residents were properly furnished with appropriate bedding and linens with sufficient lighting. A hallway closet by the bedroom was observed to store extra linens.

Bathrooms: There are three (3) bathrooms. Two (2) are designated for residents' use. Bathrooms were properly supplied and had functional fixtures. Hot water temperature was noted at 106.2 degrees Fahrenheit.