Facility Evaluation Report

Licensing Program Analyst (LPA) Erica Mosley arrived at the facility unannounced to conduct a required annual visit at 12:40 p.m. Upon arrival, there was two (2) staff and six (6) residents present. Staff called Administrator Designee and they arrived shortly after. The LPA met with Administrator Designee Erna Gevorgyan and explained the reason for the visit. The LPA toured the physical plant areas inside and outside to ensure there are no health and safety hazards and the facility is in compliance with Title 22 Regulations.

KITCHEN: The LPA toured the kitchen/food service area at 1:24 p.m. The hot water was measured at 106.7 degrees Fahrenheit at 1:25 p.m. The kitchen appeared clean and the appliances and fixtures functional. Refrigerated and frozen foods were stored at proper temperature. There was a sufficient amount of two (2) day perishable and seven (7) day non-perishable food. Food labels were inspected and checked for dates and expiration dates. Food had labels clearly marked with dates. Knives and sharps were observed locked in a cabinet. There were no pesticides or poisons observed near any food areas.

LIVING ROOM/DINING ROOM: The LPA inspected the living room and dining room area. The common areas were observed to be properly furnished and clean at the time of the visit. Furniture was observed to be in good condition. The facility maintained a comfortable temperature. At 5:27 p.m., the hardwired smoke detector(s) and carbon monoxide detectors were tested and operational. Fire extinguishers was observed fully charged and purchased on 01/11/24. The LPA observed required postings throughout the common spaces. The facility has a working telephone on premises. Auditory alarms on all doors were functional at the time of the visit. Entry/exits were free of obstruction. The last emergency disaster drill took place on 08/21/2024 and are conducted quarterly. Activities were observed in the common areas. An adequate supply of emergency food and water was observed in the front storage cabinets.

(Report Continued on LIC 809C...2nd page)