Facility Evaluation Report

Licensing Program Analyst (LPA) Erica Mosley arrived at the facility unannounced to conduct a required annual visit at 9:30 a.m. Upon arrival, there was one (1) staff and four (4) residents present. One (1) resident is currently at the hospital. Staff called Administrator and arrived shortly after. The LPA met with Administrator VAHAGN HARUTYUNYAN and explained the reason for the visit. The LPA toured the physical plant areas inside and outside to ensure there are no health and safety hazards and the facility is in compliance with Title 22 Regulations.

KITCHEN: The LPA toured the kitchen/food service area at 9:50 a.m. The hot water was measured at 112.6 degrees Fahrenheit at 9:54 a.m. Th e kitchen appeared clean and the appliances and fixtures functional. Refrigerated and frozen foods were stored at proper temperature. There was a sufficient amount of two (2) day perishable and seven (7) day non-perishable food. Food labels were inspected and checked for dates and expiration dates. Food had labels clearly marked with dates. Knives and sharps were observed locked in a cabinet. Cleaning supplies were stored under the kitchen sink locked and inaccessible. There were no pesticides or poisons observed near any food areas.

(Report Continued on LIC 809C... 2nd Page )