Facility Evaluation Report

Licensing Program Analyst (LPA) Angela Barutyan arrived at the facility unannounced to conduct a Case Management - Annual Continuation visit at 10:22AM continuing the inspection that began on 07/25/2025. LPA met with Executive Director (ED) Susan Weisbarth and explained the purpose of the visit.

RECORD REVIEW: Beginning at 10:37AM, five (5) staff records were reviewed for documents including, but not limited to: health screening, TB test, training records, fingerprint clearance, and first aid/CPR training. All staff files reviewed were complete and were observed to be in compliance.

INFECTION CONTROL/EMERGENCY DISASTER PLANNING: Beginning at 11:48AM, the LPA reviewed the facility's infection control practices and the facility's emergency disaster plan. The facility’s policies and procedures as it pertains to infection control are adequate. Emergency disaster plan is updated annually as required. Emergency disaster drills are conducted quarterly as is required, with the last drill conducted on 07/08/2025. The community’s smoke detectors and carbon monoxide detectors are hard wired. Fire systems, including smoke detectors, sprinklers, and alarms, were last tested on 11/14/2024 by GFP Guard Fire Protection INC and approved by the Los Angeles Fire Department.

During today’s visit, LPA obtained a copy of the facility’s liability insurance.

No deficiencies cited at this time. Exit interview conducted. A copy of the report was issued.