Facility Evaluation Report

On 10/08/2021, Licensing Program Analyst (LPA) Sandra Urena, arrived at the facility unannounced to conduct a required annual inspection. LPA Urena arrived at the facility at 9:30 a.m., and was greeted by the administrator Zhanna Davtian. The purpose of the inspection was discussed with the administrator.

At 9:45 a.m., LPA Urena and administrator conducted a tour of the inside and outside the facility to ensure there are no health and safety hazards and facility is in compliance with Title 22 Regulations. The facility is a one-story dwelling located in the back of the property.

Infection Control: Upon entry, the facility has a sign in book, and sanitizing gel. Infection Control signage was visible at entrance. Temperature was taken by caregiver, before allowing LPA Urena enter the premises. Temperature was recorded in sign in sheet.

Common Areas: At 10:00am, LPA Urena and administrator toured the common areas (living room and dining room). The walls and flooring were checked for cleanliness and were observed to be in good condition. Furniture was observed to be clean, appropriate, and in good condition. Fire extinguishers were observed to be serviced within the last year.

Kitchen: At 10:10am, LPA Urena observed the kitchen/dining area. Knives are stored in a locked box which is stored in the kitchen cupboard. Kitchen appliances were in operable condition. The facility has enough supply of perishable and non-perishable food. Freezer and refrigerator are stocked with a variety of foods. Prepared foods were safely covered with lids.