Facility Evaluation Report

Licensing Program Analyst (LPA) Sandra Urena conducted an annual required visit to the above noted facility. The LPA was greeted by staff. Staff contacted facility representative Emma Kochinyan, who arrived thereafter.

The LPA and the staff 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. LPA reviewed physical plant findings with facility representative once the representative arrived at the facility.

COMMON AREAS: At the time of the visit, living room and dining room furniture was observed to be in good condition. There is a fireplace in the living room, which is screened and inaccessible. The facility maintained a comfortable temperature of 76 degrees. Smoke detector(s) and carbon monoxide detector were tested and operational at the time of the visit. There is a fireplace in the living room, it was observed to be screened. There is a functioning telephone on the premises.

The two (2) fire extinguishers were observed to have been purchased on 02/20/2023 and were expired at the time of today’s inspection. The LPA observed that the required postings were missing, except for the Facility License. Missing postings: Ombudsman Poster, Community Care Licensing Poster, Personnel Schedule (LIC 500), Resident Roster (LIC 9020), Residents’ Rights, and Facility Floor Plan/sketch.

KITCHEN: Kitchen knives are stored inaccessible in a drawer to the right of the stove.The freezer was maintained at zero degrees Fahrenheit (0*F) and the refrigerator was maintained at 40*F. The supply of nonperishable food is adequate. Appliances in the kitchen were clean and all appeared functional at the time of the visit. Trash cans had tight fitting lids. The first aid supplies were complete, including a thermometer and a current version of a first aid manual.

BEDROOMS: The facility has three (3) shared residents’ bedrooms. Bedrooms were furnished appropriately with clean linens, appropriate furnishings and sufficient lighting. Bedroom #1 had two residents at the time of the inspection. Continues on LIC 809C...