Facility Evaluation Report

At 10;15am Licensing Program Analysts (LPAs) Angela Panushkina and Leslie Ngo-Castaneda, conducted a Case Management Visit in conjunction with the complaint #31-AS-20240301092942. LPAs met with the Administrator explained the reason for the visit.

At 11:40am, LPAs conducted visits to random resident rooms in an Assisted Living (2nd floor) and conducted an interview with ten (10) out of thirteen (13) residents. Upon entry to three (3) out of five (5) rooms LPAs noticed the following:

Toilet was not properly working in room #210

Bathroom flooring around the door frame in room #210 and #209 was damaged/chipped.

Closet doors in room #210 and #218 were off the tack and damaged.

Evacuation chairs on a second floor were missing

Deficiencies cited on LIC9099-D, based on LPAs observation of the physical plant.

Exit interview conducted. Appeal rights explained and copy of this report signed and delivered.