Facility Evaluation Report

Licensing Program Analyst (LPA), Tihesha Smith conducted an unannounced Required 1-year inspection at this facility at approximately 9:30 am. LPA was greeted by the staff and disclosed the purpose of the visit. The licensee/administrator was contacted. The designee Bagrat Davtyan arrived at approximately 10:30 am.

LPA conducted a tour of the physical plant to ensure there are no health and safety hazards, and the facility is following Title 22 Regulations.

Common areas, including the living room and the combined kitchen and dining room, were evaluated for their ability to safely meet residents' needs. These spaces were inspected for cleanliness, and furniture was assessed for functionality and condition. All common areas were found to be clean, sanitary, and furnished with seating sufficient to accommodate residents comfortably.

LPA Smith reviewed the food service areas, food storage and supply (perishable and nonperishable foods). The kitchen food supply was observed and sufficient for the one (1) residents currently residing there. Two (2) days of perishable food observed. The freezer is stocked with frozen foods. Resident medications locked in a file cabinet located in the office area next to the kitchen. Sharps are stored and locked under stove cabinet and observed to be locked and inaccessible to resident. There is one (1) fire extinguisher in facility attached to the wall in dining area and observed to be charged. Laundry room is located in separated room at side of kitchen near staff bathroom. The appliances observed to be functional.