Facility Evaluation Report

Licensing Program Analysts (LPAs) Angel Ascencio and Zabel Chochain arrived at the facility unannounced to conduct a required Annual visit. The LPAs met with Administrator Vishtasb Kykhosrowpour and Farnaz Servati and explained the reason for the visit.

The LPA toured the physical plant areas inside and outside, with Vishtasb Kykhosrowpour at 9:15 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 LPAs measured the hot water temperature in (2) two out (4) four bathrooms. The hot water temperatures measured between 110.6 and 115.9 degrees Fahrenheit.

KITCHEN: Kitchen appliances were in operable condition. The facility has a sufficient supply of perishable and non-perishable food. All knives and cleaning supplies were observed to be properly stored and locked at time of visit. Hot water was measured and was within regulation.