Facility Evaluation Report

Licensing Program Analyst (LPA) Elsie Campos arrived at the facility to conduct a required annual visit. This

annual had a specific emphasis on infection control practices and procedures. The LPA met with Facility

staff at approximately 11:00 a.m. and explained the reason for the visit. The administrator Sargis Ayvazyan arrived shortly thereafter.

The LPA toured the physical plant areas inside and outside at approximately 11:25 p.m., with staff Tamara Bernard, to ensure that there are no health and safety hazards.

KITCHEN: At 11:25 a.m., the LPA toured the Kitchen. Appliances were clean, sanitary and in operable condition. The facility has a sufficient supply of perishable and non-perishable foods. At approximately 11:25 a.m. knives were observed to be locked and inaccessible to residents in care.

LAUNDRY: At 11:35 a.m., the LPA observed the laundry area which is located in the hallway closet. Appliances were clean, sanitary and in operable condition. Laundry detergents and chemicals were observed to be locked in an adjacent cabinet in the hallway.

BEDROOMS: There are three (3) bedrooms designated for resident use. Bedroom #1 is single occupancy with no private bathroom and an exit to the exterior. Bedroom #2 and bedroom #3 are double occupancy with no exit to the exterior. Bedroom #3 has a shared bathroom. The facility has furnished each room with clean linens, appropriate furnishings, and sufficient lighting for resident use. Storage space cabinet in hallway was observed containing clean linens for resident use.