Facility Evaluation Report

Licensing Program Analyst (LPAs) Sandra Urena and Elsie Campos arrived at the facility unannounced to conduct a required annual visit at 10:04 a.m. The LPAs met with Administrator Nirvana Ghaemi, and explained the reason for the visit.

The LPAs, and the Administrator toured the physical plant areas at 10:20 a.m. 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 and non-perishable food. At 11:50 a.m., the LPAs and the Administrator observed the kitchen knives to be stored in a locked cabinet drawer to the left side of the stove

BEDROOMS: The resident bedrooms were furnished appropriately with clean linens, appropriate furnishings and sufficient lighting. There are three bedrooms for resident use; room#3 is vacant, room #4 and room #5 are currently occupied as staff rooms.

RESTROOMS: Residents’ restrooms are clean and sanitary and in operating condition with grab bars and non-skid surfaces. Proper hand washing signs were displayed, and paper towels were available.

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.