Facility Evaluation Report

Licensing Program Analyst (LPA) Sandra Urena arrived at the facility unannounced to conduct a required annual linspection. LPA Urena arrived at the facility at 10:10 a.m. and was greeted by staff. The Administrator Zhanna Davtian arrived shortly thereafter. The purpose of the inspection was discussed with the administrator.

At 10:45 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.

KITCHEN: Knives are stored in a locked kitchen drawer. Kitchen appliances were in operable condition. The facility has enough supply of perishable and non-perishable food. The freezer and refrigerator are stocked with a variety of foods. Prepared foods were safely covered with lids. The hot water temperature measured at 112.1 degrees Fahrenheit.

BEDROOMS: Bedrooms were furnished appropriately with appropriate furnishings, bed linens, and sufficient lighting. The facility has three bedrooms, which have double occupancy.

BATHROOMS: There are two bathrooms. There is 1 bathroom in the hallway, and 1 bathroom in bedroom #3. The bathrooms were clean, the shower area was in clean condition with grab bars and a non-skid mat available. Paper towels were available for drying hands. Hand washing sign was displayed, and sufficient amounts of soap and paper products in each restroom. Hot water in residents’ bathrooms measured at 111.1 degrees Fahrenheit during today’s visit.