Facility Evaluation Report
Licensing Program Analyst (LPA) Sandra Urena arrived at the facility unannounced to conduct a required Annual inspection. Upon arrival, the LPA was greeted by staff, and explained the reason for the visit. The staff contacted the Administrator Siranush Alvadzhyan and they arrived shortly thereafter.
The LPA and the Administrator toured the physical plant areas at 12:40 p.m. inside and outside to ensure there are no health and safety hazards and facility is in compliance with Title 22 Regulations.
BEDROOMS: Bedrooms were furnished appropriately with clean linens, appropriate furnishings and sufficient lighting. There are three residents’ rooms. There was a linen closet in the hallway with extra towels and linens. Washer and dryer were operational.
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. Hot water temperatures measured between 116.5 and 11.6.8 degrees Fahrenheit in the common and private restrooms.
KITCHEN: Kitchen appliances were in operable condition. At 1:27 p.m. The facility has a sufficient supply of perishable and non-perishable food All knives and cleaning supplies were observed to be properly stored and locked at time of visit. Hot water measured 112.8 degrees Fahrenheit at 1:35 p.m.
COMMON SPACES: In the common areas, walls and flooring were checked for cleanliness and good condition. At the time of the visit, living room and dining room furniture was observed to be in good condition. Smoke detector(s) and carbon monoxide detector were tested and operational at the time of the visit. The LPA observed required postings in the common area. One (1) fire extinguisher was observed to be fully charged and purchased on 04/20/2023. Continue on LIC 809C…
Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction