Facility Evaluation Report

Licensing Program Analyst (LPA) Ashley Smith arrived unannounced to conduct a required annual visit. The LPA met with staff and explained the reason for the visit. The licensee Hovhannes Ispiryan arrived shortly thereafter. The LPA toured the facility to ensure there are no health and safety hazards and to ensure regulatory compliance.

KITCHEN : Knives and chemicals are locked inaccessible. Appliances were in operable condition. The facility has a sufficient supply of perishable and non-perishable food. BEDROOMS : The resident rooms were furnished appropriately; beds had with clean linens and rooms had sufficient lighting. All direct exits were clear and no obstructions were noted. RESTROOMS : Restrooms were clean and sanitary with grab bars and non-skid surfaces. At 10:32 a.m., water temperature measured at 108.2 F. Restrooms were fully stocked. Hand-washing signs were observed. COMMON SPACES : Living room and dining room furniture were observed to be in good condition. The facility maintained a temperature of 73 degrees. Fire extinguishers were fully charged and purchased 4/2022. All exits have functioning auditory devices. The backyard had furniture and a covered area for resident use. The side gate door was self-latching. No bodies of water noted.

INFECTION CONTROL : There was a central entry point for symptom screening and temperature checks. The LPA was appropriately screened upon entry into the facility. Staff were wearing appropriate face coverings. Infection Control signs were observed on the front door and throughout the facility. Facility has a sufficient supply of PPE. The facility’s cleaning protocol is sufficient. There was record of staff and resident vaccinations. The LPA discussed changes around testing, visitation and vaccine requirements. The facility's procedures as it pertains to infection control are adequate.