Facility Evaluation Report

Licensing Program Analyst (LPA) Tihesha Smith conducted an unannounced Required 1 year visit to this facility. LPA was greeted by staff. Administrator, Stella Avetyan was notified by phone and arrived later.

LPA conducted a tour of the physical plant at approximately 10:25am to ensure there are no health and safety hazards, and facility is in compliance with Title 22 Regulations. The facility is a single story building and has a total of seven (7) rooms and three (3) bathrooms. Five (5) of seven (7) rooms are shared resident rooms and two (2) of the seven (7) rooms are for staff. One (1) staff room has an ensuite.

Common areas were observed for the ability to safely serve the needs of the residents. These included the kitchen, dining room, and living room. The common areas were checked for cleanliness and furniture was checked for functionality. Common areas observed to be furnished with some seating for residents.

The kitchen appeared clean and the appliances and fixtures functional. LPA Smith observed a sufficient amount of perishable and non-perishable food at the facility for the ten (10) residents currently residing at the facility. Sharps are stored in locked kitchen drawer. Medications in locked cabinet in kitchen and the facility has a first aid kit station attached to the wall near front door. A wall of locked cabinets in the dining/living room contains the following:

Due to time constraints unannounced annual inspection will be conducted at a later date and will address deficiencies observed including those cleared at time of visit.

Exit interview conducted/copy of report sent.