Facility Evaluation Report

Licensing Program Analyst (LPA) Christine Yee conducted an unannounced required Annual Inspection and utilized the CARE Inspection Tool. LPA Yee was let into the home by Ainur Konysbayeva, Staff. Anna Armenyan, Licensee was contacted by telephone and she arrived a little later to conduct the visit. Irina Fried arrived at 11:34am to also participate in the visit. The reason for today's visit was provided.

The home is a single storey family home located behind another home located on the same lot. The home consists of a kitchen, dining room, living room, 3 bedrooms, 2 full bathrooms. The home is fire cleared for 5 non-ambulatory and 1 bedridden clients. Bedroom #1 is the designated room for bedridden use.

On today's visit all 12 domains of the CARE Inspection Tool were reviewed, 6 client and 6 staff files were reviewed and the physical plant, inside and outside, was toured and the following was observed:

the living room was furnished with the appropriate furniture and seating for 6 clients. A locked cabinet used to centrally store medications and a linen cabinet was also observed in the living room.

the dining room was observed with a table and 6 chairs.

The kitchen is equipped with a stove, refrigerator, toaster and microwave. Dinner ware, utensils, cups were observed. Pots and pans were observed for cooking. Sufficient perishable foods for a minimum of 2 days and non-perishable foods for a minimum of 7 days were observed. The facility also has a emergency food kit that has 60 servings on site.