Facility Evaluation Report

Licensing Program Analyst (LPA) Brian Balisi arrived at the facility unannounced to conduct a required annual. This annual had a specific emphasis on infection control practices and procedures. Upon arrival LPA met with Administrator Jasmin Sargsysan and explained the reason for the visit.

At approximately 10:15am, LPA toured the physical plant areas inside and outside to ensure there are no health and safety hazards and facility is in compliance with Title 22 Regulations. The carbon monoxide and smoke alarms were tested and all functioned properly. The fire extinguisher was fully charged and purchased in January 2023.

LPA observed Kitchen to be clean and the appliances and fixtures functional. Kitchen knives are stored in a locked drawer to the left of the dishwasher. Stove burners are rendered inaccessible to the residents by installing a lock when not in use. The supply of dishes, utensils, pots, pans and drinkware is adequate. The freezer was maintained at zero degrees Fahrenheit (0*F) and the refrigerator was maintained at 40*F. Nonperishable food was observed to be adequate and located in cabinets next to the dining area. There are no pesticides (poisons) or toxins stored in any food storage area or preparation area with utensils. Appliances in the kitchen were clean and all appeared functional at this time. Trash cans had tight fitting lids.

There were (6) bedrooms total with (1) bedroom designated for staff use, which was located next to the dining area. LPA observed staff room to be empty at this time. All bedrooms for clients use were properly furnished and had appropriate bedding and linens. There are 3 bathrooms in the hallway. The resident bathroom(s) has a shower with non-skid materials. The toilet and showers have grab bars. The hot water temperature was tested in the bathrooms and the kitchen and was found to be within the range of 105*F and 107.7*F.