Facility Evaluation Report

Licensing Program Analyst (LPA) Sandra Urena arrived at the facility unannounced to conduct a required annual inspection visit at 10:00 a.m. This annual visit had an emphasis on infection control practices and procedures. The LPA spoke with the caregiver at arrival and introduced herself. Caregiver called the licensee representative via cell phone. The representative stated that they would arrive at the facility in 15 minutes. Representative , Ruzanna Sukiassyan arrived at the facility at 10:50 a.m. LPA Urena introduced herself, and explained the reason for the visit.

The LPA, and the licensee representative 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: Kitchen appliances were in operable condition. The facility has a sufficient supply of perishable and non-perishable food. The dining room furniture was observed to be in good condition. The LPA observed a fire extinguisher in the kitchen area to be fully charged, and operational. The LPA observed sharp objects and toxins to be locked away, and inaccessible from residents.

BEDROOMS: The LPA observed three residents’ bedrooms, which were furnished appropriately with clean linens, furnishings and sufficient lighting. Bedrooms #1, #2 and #3 were occupied.

RESTROOMS: Residents’ restrooms are clean, and sanitary and in operating condition with grab bars and non-skid surfaces. Bathrooms are sufficiently stocked with hand liquid soap, and paper towels.