Facility Evaluation Report

Licensing Program Analyst (LPA) Angela Barutyan arrived at the facility unannounced to conduct a required annual visit at 9:45AM. LPA met with Head Caregiver (HC) Dexter Olavario. Administrator Belinda Dolinsky could not be on site at the time of the visit, but Dexter Olavario was designated to sign in their place. Entrance interview conducted.

Beginning at 9:52AM, the LPA, along with the HC toured the physical plant areas inside and outside to ensure there are no health and safety hazards and that facility is in compliance with Title 22 Regulations. The following was observed:

Fire extinguishers are fully charged and were last serviced 06/06/2024. Hardwired smoke detectors and carbon monoxide detector in kitchen were tested at 11:17AM and all were functional at the time of the visit. LPA observed exit alarms by all doors which were functional and operating.

COMMON AREAS : This includes the living room, physical therapy room, and dining room. LPA observed common areas to be clean and properly furnished at the time of the visit. At 09:53AM, LPA observed a fireplace in the living room not appropriately screened. Facility is maintained at a comfortable temperature. LPA observed surveillance cameras in the common areas. LPA observed storage space closets in hallway containing clean linens for resident use.

BEDROOMS : The facility consists of eight (8) total bedrooms, of which six (6) are designated for single-resident use and two (2) are designated for staff use. All resident rooms have exits to the exterior. All resident rooms were observed to be furnished appropriately with clean linens, appropriate furnishings and sufficient lighting. Staff bedrooms were observed and were occupied by staff.