Facility Evaluation Report

On 12/11/24, at 09:25am, Licensing Program Analyst (LPA), Gina Saucedo, conducted an unannounced

annual visit. LPA was met by resident Steven Gordon-Carroll . There was no staff present at the time of arrival. Resident Steven Gordon-Carroll called the staff and the staff-Karen Mesropyan arrived about thirty (30) minutes later.

Facility is a single-story home. Today's site visit consisted of LPA touring the physical plant by themselves since there was no staff present at the time.

Bedrooms : There is a total of five (5) bedrooms. There is a bedroom designated for staff next to the kitchen on your left-hand side. There is a total of four (4) bedrooms for resident use. All the bedrooms have proper bedding, chairs, night stands, lamps in addition to overhead lighting. There is adequate supply of linen stored in the cabinets next to the bedrooms. There was chemicals exposed to the residents. LPA took a picture of the chemicals being exposed by the washer and dryer and in the bathrooms. There are (3) bathrooms.

The facility has a working phone number land line. Fire Extinguisher located near kitchen door on your left-hand side on the floor. It is fully charged but has an expiration date.

Kitchen: Dishes, cups, and flat ware are stored in the kitchen cupboards, inspected and in good repair. Sharps are stored on your left side of the kitchen not locked and not secured accessible to residents . The cabinet was broken. Food supply adequate stored in several cabinets and consists of the following cereal, canned goods, bottles of water. Dishwasher in kitchen properly installed and functioning. The refrigerator is in good condition and working.