Facility Evaluation Report

On February 21, 2025, at 9:20 am, Licensing Program Analyst (LPA) Edward Kim conducted a continuation visit for a required 1-year annual visit. LPA Kim was greeted and gained entry by Caregiver (CG) Ellein Bobis. Assistant Administrator (AA) Eyob Kebede and Administrator (AD) Regat Kebede arrived to the facility.

LPA Kim conducted an audit of resident records (R1-R4) and medication and medication administration record that were complete and in order. LPA Kim conducted staff interviews (S1-S2). First aid kit is maintained and contains all the necessary elements. The smoke detectors and carbon monoxide detectors were operable. A video teleconferencing device is dedicated to the residents remain available.

Deficiencies were cited during this visit as per Title 22 Division 6 Chapter 8 of the California Code of Regulations. LPA observed the following deficiencies: there is a staff room inside the family room that is not reflected in the facility sketch and there are three walls bolted on the ground with 14.75” space from the ceiling that is not reflected in the facility sketch.

An exit interview was conducted, and a copy of this report and appeal rights were provided to Assistant Administrator Eyob Kebede and Regat Kebede.