Facility Evaluation Report

Licensing Program Analysts (LPA) Erica Mosley arrived at the facility unannounced to conduct a required annual visit and entered the facility at 12:40 p.m. Upon arrival, LPA Mosley was greeted by staff and co-administrator and informed them of the visit. The LPA met with Co-Administrator Mariam Panadzhyan 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 facility is in compliance with Title 22 Regulations.

KITCHEN: The LPA inspected the kitchen/food service area at 12:57 p.m. Knives and sharps were observed in the locked staff room adjacent to the kitchen. Kitchen appliances were in operable condition. The facility has a sufficient supply of two (2) day perishable and seven (7) day non-perishable food. Refrigerator and food pantry were checked for proper labels and expiration dates. Nonperishable foods including peanuts, ketchup and mac and cheese in food pantry area were expired dating 04/03/2024; 01/23/2024 and 01/25/2024.The expired food poses a potential health and safety risk to persons in care. Administrator was made aware, and food was immediately removed. The kitchen faucet was measured for hot water temperature, and it measured 115.5 degrees Fahrenheit at 12:57 p.m. There is a washer and dryer on premises in the kitchen area. Laundry detergent was observed in the staff room adjacent to the kitchen.

COMMON AREAS: At the time of the visit, furniture in the common areas was observed to be in good condition. The facility maintained a comfortable temperature. At 3:45 p.m., hardwired, smoke detector(s) and carbon monoxide detector were tested and operational at the time of the visit. The fire extinguisher was observed, fully charged, and purchased on 03/31/2024. The LPA observed required postings throughout the common space. The last emergency disaster drill took place on 07/06/2024. Activities were observed in the common areas.