Facility Evaluation Report

Licensing Program Analyst (LPA) Elsie Campos arrived at the facility unannounced to conduct a required Annual visit. This annual had a specific emphasis on infection control practices and procedures. The LPA met with Administrator Vishtasb Kykhosrowpour and explained the reason for the visit. The administrator advised that there are currently no residents in the facility.

The LPA toured the physical plant areas inside and outside, with Vishtasb Kykhosrowpour at 9:25 a.m., to ensure there are no health and safety hazards.

BEDROOMS: There are (6) six bedrooms designated for resident use. Bedroom #1 has a direct exit to the exterior. The facility is capable of furnishing each room with clean linens, appropriate furnishings, and sufficient lighting for resident use.

RESTROOMS: There are (4) four bathrooms designated for resident use. (2) two bathrooms are located inside the resident bedrooms and (2) two are located in the hallway. Bathrooms are clean, sanitary, and in operating condition with grab bars and non-skid surfaces. The LPA advised the Administrators to ensure that bathrooms were stocked with paper towels and hand-washing signs prior to allowing resident admissions. Between 9:37 a.m. – 9:39 a.m., the LPA measured the hot water temperature in (2) two out (4) four bathrooms. The hot water temperatures measured between 117.6 and 119.9 degrees Fahrenheit.