Facility Evaluation Report

On 11/06/2023 at 9:40 a.m. Licensing Program Analyst (LPA) Evelin Rios arrived at the facility listed above to conduct an unannounced annual inspection. LPA was greeted by administrator Salbi Aidinova who granted access. Administrator was with one (1) client, client#1 (C1). LPA explained the reason for the visit. Staff #1 (S1) arrived at the facility shortly after.

At 9:50 a.m. LPA and the administrator toured the physical plant of the facility, and the following was observed.

Kitchen/ Dinning area: The kitchen was observed to be clean and clear of clutter. Appliances and fixtures were functioning properly. LPA observed cleaning products, medications, facility files, knives and sharp items kept locked in a closet by the kitchen. LPA observed a sufficient amount of 2- day perishable and 7-day non-perishable food supply at the facility; properly stored. LPA observed the weekly menu on the fridge. LPA observed various kitchen cabinets with non-perishable foods. On one of the kitchen's walls LPA observed one (1) fire extinguisher fully charged with a last serviced date of 06/11/2023. Dining area had appropriate table and chairs to sit the capacity of the facility.

Living room: The facility has two (2) living areas. Both were observed clean and properly furnished. Two (2) fireplaces were observed secured with screens.

Bedrooms: There are a total of five (5) bedrooms, one (1) of which is designated for live-in staff. LPA inspected four (4) out of four (4) client bedrooms. Bedrooms are for private use. LPA observed each client room to be properly furnished with one bed, appropriate night stand, chair, beddings and with sufficient lighting and storage. LPA observed extra linens in the hallway outside the bedrooms.