Facility Evaluation Report

Licensing Program Analyst (LPA) Christine Yee conducted an unannounced required Annual Inspection visit using the complete CARE Inspection Tool. Gohar Hovhannisyan, Staff allowed LPA Yee entry into the facility. The Administrator was contacted by staff and she arrived at 9:56am to conduct the visit.

The facility is a single storey family home consisting of a living room, a dining room, a kitchen, 3 resident bedrooms, 2 common bathrooms and a attached garage. The facility is fire cleared for 5 non-ambulatory and one bedridden resident. Bedroom #3 is the room designated for the one bedridden resident.

The following was observed on today's visit:

The dining room and living room have the appropriate furniture for 6 residents and was clean

The fire place was observed with a metal fire screen

A carbon monoxide detector was observed in the dining room

The kitchen has the standard equipment - stove, refrigerator, toaster oven, coffee maker and dishwasher was observed to be operational and clean. Knives are stored in a locked drawer.

sufficient perishable and non-perishable foods were observed in the kitchen and in the garage

The three resident bedrooms all contained 2 hospital beds, 2 chairs, 2 lamps, 2 dressers, a shared closet and blinds for privacy. No window bars were observed.

Appropriate bed linens were observed on residents' beds minus the comforter due to the heat. Comforter kept in the linen closet with extra bed linens

The two common bathrooms were toured. The common bathroom located by the garage is designated for staff use and does not have grab bars. The common bathroom located by resident rooms has a bath tub with a shower. A shower chair, grab bars and non-skid mat were observed. Water temperature tested in the sink read 106.5 degrees Fahrenheit. Per Administrator, the thermostat will be adjusted to a