Facility Evaluation Report

Licensing Program Analysts (LPA) Brian Balisi arrived at the facility unannounced to conduct a required annual visit at 9:20am. Upon arrival LPA met with Administrator Ruzanna Sukiassyan and explained the reason for the visit. At approx. 09:50am, 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.

Facility is a single-story residence and consists of a total of six (6) bedrooms and one (1) bathroom. During physical plant tour LPAs observed the required postings throughout the facility. At approx. 9:30am, LPA observed resident having breakfast.

The kitchen appeared to be clean and the appliances and fixtures functional during the time of visit. LPAs observed a sufficient amount of perishable and non-perishable food at the facility; properly stored. Sharp objects are stored in a cabinet in the kitchen to the right of the stove. No cleaning supplies or toxins are stored under the sink. Laundry room located to the left of the fridge. It was observed to be inaccessible to residents in care at the time of the visit. LPA observed cleaning supplies and other toxins stored in this location. Non-perishable food panty located to the left of the laundry room. It was observed to be inaccessible to residents in care. LPA observed a sufficient supply of extra non-perishable food stored in this location.

The resident bedrooms were properly furnished with a bed, night stand, and sufficient lighting for each resident. The bedrooms had appropriate and adequate bedding and linens such as sheets, pillowcases, mattress pads, and blankets.

LPA observed bathroom to be clean, properly supplied and had functional fixtures. LPA observed bathroom to have grab bars and non-skid mats. The hot water was measured in each bathroom between 110 - 113 degrees Fahrenheit.