Facility Evaluation Report

Licensing Program Analyst (LPA) Sandra Urena arrived at the facility unannounced to conduct a required annual visit at 11:35 a.m. This annual inspection had a specific emphasis on infection control practices and procedures. The LPA met with Administrator Nirvana Ghaemi, and explained the reason for the visit.

The LPA, with the guidance of the Administrator, 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 food; however, the facility does not have a sufficient seven-day supply of non-perishable food. At 11:50 a.m., the LPA and the administrator observed the kitchen knives to be stored in an unlocked cabinet drawer to the left side of the stove

BEDROOMS: The LPAs observed the resident bedrooms, which were furnished appropriately with clean linens, appropriate furnishings and sufficient lighting. There are six bedrooms for resident use; however, Room #4 and Room #6 are currently occupied as staff rooms. At 12:15 p.m., the LPA and the administrator observed in Room #6 one bottle of medication located in the left hand side of the closet. The bedroom #6 was unlocked and the closet dore was open.

RESTROOMS: Resident restrooms are clean and sanitary and in operating condition with grab bars and non-skid surfaces. During the visit, the LPA did not observe signage in bathroom #2 pertaining to proper hand hygiene. Proper signage and paper towels were promptly displayed.

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.