Facility Evaluation Report

Licensing Program Analysts (LPAs) Gary Tan, Abeye Duguma and Christopher Alemoh met with Administrator Marine Karapetian for a One (1) Year Required visit for this facility. LPA explained the reason for the visit.

A tour of the physical plant was conducted at 12:02 PM and the following was noted:

There is only one entrance being utilized at the facility, the front main entrance door. There are required poster posted at the main door. Screening area is located immediately upon entrance. There is also a sign in sheet, hand sanitizer, gloves and masks available. The facility had submitted and approved Mitigation and Infection plan.

There are hand sanitizing stations all over the facility. There are signs to wear a mask and other Covid 19 prevention protocol signs were posted outside the doors. Hand washing, coughing etiquette, physical distancing and other necessary signs were posted in common bathrooms and all over the common areas of the facility. The facility have designated visitors' area at the front yard. The facility has sufficient stock of PPE in the storage room.

The facility is a single storey building with shared and private bedrooms and bathrooms. Exit signal alarms were tested and at 12:25 PM and observed to be operational. All indoor and outdoor passageways/exits were free of obstruction. There is no body of water in the facility. The facility maintains a comfortable temperature at 75°F. The facility's smoke alarms are hard wired and interconnected and back up and tests are done in house on a regular basis. The facility is equipped with sprinkler system which was last tested on 01/19/23 and valid until 01/31/24. Fire extinguishers are located all throughout the facility and were last serviced on 01/19/23. Fire Drill was last conducted on 06/05/23. (continued to LIC 809-C)