Facility Evaluation Report

Licensing Program Analyst (LPA) Christine Yee conducted a subsequent visit to continue the required Annual Inspection initiated on 12/6/23 using the complete CARE Inspection Tool. LPA Yee conducted the visit with Evelina Papazyan, Administrator.

On today's visit LPA Yee reviewed the following domains: Physical Plant/Environmental Safety, Disaster Preparedness and Residents with Special Health Needs. A tour of the physical plant , inside and outside was also conducted. The kitchen, dining room, lounge, television rooms, libraries were inspected and the following resident bedrooms were inspected: 104, 111, 114, 120, 126, 201, 206, 213, 220, 303, 310, 317, 332 and rooms in the Dementia Unit - 221, 226, 231, 236. Per tour of the physical plan the following were observed:

the Kitchen had the appropriate equipment, cleaning solutions were stored under the table located by the kitchen sink. Sufficient perishables and non-perishable foods were observed, individual bottles of water were observed in the room used to store the emergency food.

The dining room has plenty of sitting for all the residents to eat in one sitting.

The lounge on the first floor has sufficient seating,

The television room on the first floor and in memory care have plenty seating for residents.

All the bedrooms inspected have the required bed, chair, lamp, night stand, closet and dresser except for rooms number 231 and room #236 are missing the dresser. Residents are using the desk drawers as dressers.

Beds were observed with linens that the residents have chosen that they want to use. Extra linens were observed in the linen closet

Blinds for the windows and sliding glass doors in bedrooms #104, #111, #126, #220, #221, 226 were observed missing slates or were broken.