Facility Evaluation Report

Licensing Program Analyst (LPA) Elsie Campos arrived at the facility unannounced to conduct a required Annual visit. This annual had a specific emphasis on infection control practices and procedures. The LPA met with Administrator Sofiya Ghazaryan and explained the reason for the visit.

The LPA toured the physical plant areas inside and outside, with the Administrator to ensure there are no health and safety hazards.

BEDROOMS: There are (4) four bedrooms designated for resident use and (1) one bedroom designated for staff use. The facility has converted the garage into a separate living quarters which has its own address. The Administrator agreed to submit a new facility sketch to the department. The facility has furnished each room with clean linens, appropriate furnishings, and sufficient lighting for resident use. The LPA observed one staff bedroom and one designated resident room to have undergone water damage. The Administrator explained that it was recently discovered that a water line behind the refrigerator had been leaking causing unknown water damage that reached an adjacent staff bathroom bedroom and unoccupied resident bedroom. The Administrator reported that this issue is being addressed by the insurance company and is in the process of conducting repairs due to the water damage.

RESTROOMS : The LPA observed Resident restrooms to be clean, sanitary, and in operating condition with grab bars and non-skid surfaces. The LPA observed sufficient amounts of soap and paper products. The LPA observed the staff bathroom to be undergoing repairs due to water damage resulting from a broken refrigerator water hose. Restroom hot water measured between 119.4 and 120.0 degrees Fahrenheit between 10:06 a.m. and 10:19 a.m. The LPA suggested to the Administrator to turn down the water heater temperature to ensure compliance.