Facility Evaluation Report

Licensing Program Analyst (LPA) Salia Walker arrived at the facility unannounced to conduct a required Annual visit at 03:08 p.m. This annual had a specific emphasis on infection control practices and procedures. The LPA met with Lead Staff Anahit Kirakosyan at 03:22 p.m., and explained the reason for the visit.

The LPA toured the physical plant areas inside and outside at 03:22 p.m., to ensure there are no health and safety hazards. At 03:56 p.m., the LPA conducted a resident file review. Upon review of the resident files, The LPA observed one (1) out of six (6) residents did not have a facility file. The Lead Staff advised the LPA Resident #1 (R1) was recently admitted to the facility, and the administrator did not have a facility file ready.

BEDROOMS: The LPA observed the resident bedrooms which were furnished with clean linens, appropriate furnishings and sufficient lighting.

RESTROOMS : Resident restrooms are clean, sanitary, and in operating condition with grab bars and non-skid surfaces. The LPA observed sufficient amounts of soap, paper products, and hand-washing signs in each restroom. Restroom one (1) hot water measured 114.6 Fahrenheit at 01:29 p.m. Restroom two (2) hot water measured 105.4 Fahrenheit at 03:50 p.m. Restroom three (3) hot water measured 113.4 Fahrenheit at 03:40 p.m. Restroom four (4) hot water measured 112.6 Fahrenheit at 03:43 p.m.

KITCHEN: Kitchen appliances were in operable condition. The facility has a sufficient supply of perishable and non-perishable food. Hot water measured 116.8 Fahrenheit at 03:32 p.m. All knives and cleaning supplies were observed to be properly stored and locked. All knives and sharps are kept in a file cabinet inside administrator’s office next to the Kitchen.