Facility Evaluation Report

Licensing Program Analyst (LPA) Lydia Martinez made an unannounced Case Management Health and Safety check visit on today's date. LPA met with Licensee/Administrator Marjan Arastoo and reason for visit was explained.

LPA Martinez toured the inside of facility and no immediate health/safety hazards were observed. LPA inspected random client rooms and spoke to random clients who stated they had no complaints. 73 clients are currently living at the facility. LPA Martinez inspected facility food supply and was observed to be in quantity to meet the regulatory requirements during this inspection. Hygiene supplies were observed centrally stored in the office.

Staffing was observed as Administrator/MedTech, 2 Housekeepers, 1 Handyman, and 1 Cook.

Administrator was provided with the Resources which AD Marjan acknowledged she received and was reminded facility is to hire the following staff as discussed at the Non-Compliance Conference of 11/16/2021 by 12/15/2021: Office Staff, Cooks, 3 Caregivers per shift, Activity Staff, 24 Hour Security and to institute sign in and out log.

No deficiencies are being cited in the areas observed during today's visit.

LPA Martinez conducted an exit interview with Administrator Marjan Arastoo and a copy of this report will be provided to AD via email.