Facility Evaluation Report

On 01/11/2023 at 10:00 AM, Licensing Program Analyst (LPA) Christopher Alemoh conducted an unannounced Required – Annual Continuation Inspection and met with Director of Operations, Anasheh Safarian. Eight (8) residents and five (5) staff were present during this inspection.

At 10:42 AM LPA Alemoh conducted a physical plant to ensure there are no health and safety hazards and facility is in compliance with Title 22 Regulations. Facility is following COVID Protocols. There is signage on the front doors. LPA was screened upon entry and signed in.

The facility contains 8 shared bedrooms with a maximum capacity of 16. Facility is approved for hospice waiver for six hospice residents. The Annual Licensing Fees are current.

S1 accompanied LPA inside and outside the facility during this inspection. Outside grounds were toured and no bodies of water were observed. Walkways around the home were clear of hazards.

LPA observed (8) Resident bedrooms had the required furniture, bed linens and closet/drawer space to accommodate each resident comfortably. There are no security bars or weapons on the premises.

LPA observed four (4) Resident bathrooms at random. Restrooms #1 and #2 are located by the front entrance, designated for staff use. Restrooms #3 and #4 are designated for residents. Toilets and water faucets worked properly, grab bars were secure, shower was free of mold/mildew and a non-skid mat was in place, hot water temperature properly measured between 112-114F. Resident bath towels, toiletries and personal hygiene supplies were adequately stocked.

Common areas were clean and clear of hazards, doorways were free of obstructions. Clients were observed watching facility television. There were three (3) Couches with normal wear and tear.