Facility Evaluation Report

Licensing Program Analysts (LPAs) Ashley Smith and Elsie Campos arrived at the facility unannounced to conduct a required annual visit at 9:30 a.m. When the LPAs arrived, there were two staff and three residents present. The LPAs were greeted by staff and informed them of the reason for the visit. Administrator Galina Melkonyan arrived shortly thereafter.

At 10:40 a.m., the LPAs 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.

KITCHEN: The LPAs began the inspection in the kitchen/food service area. At 10:44 a.m., knives were observed a cabinet with the lock disengaged. At 10:45 a.m., the LPAs observed an accessible lighter, knife sharper, multi-purpose swiss army knife, and pizza cutter in the drawer. At 10:46 a.m., cleaning supplies were accessible in a cabinet with the lock disengaged. At 10:48 a.m., the LPAs observed the medication cabinet, with a disengaged lock. At 10:49 a.m., medications were found accessible in a kitchen drawer. At 10:51 a.m., non-perishable goods were observed to be poorly packaged. At 10:54 a.m., accessible medications were observed in the fridge. Kitchen appliances were in operable condition. The facility has a sufficient supply of perishable and non-perishable food. At 10:55 a.m., the hot water temperature was measured in the kitchen at 106.2 degrees Fahrenheit.

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 covered and inaccessible. The facility maintained a comfortable temperature of 69 degrees. Smoke detector(s) and carbon monoxide detector were tested at 11:12 a.m. and were operational at the time of the visit. The fire extinguishers were fully charged yet were purchased 11/2019. All exits have functioning auditory devices, however they were not on during today’s visit. At 10:58 a.m., accessible medications were located in an unlocked hallway closet. At 11:08 a.m., accessible medications were observed in the dresser located in the activity room. The LPAs observed required postings in the foyer. Cameras were observed in the common spaces.