Facility Evaluation Report

Licensing Program Analysts (LPAs) Lydia Martinez, Albert Marin and Licensing Program Manager (LPM) Luz Adams made an unannounced visit to the facility to continue the Case Management that was started on 12/08/2021 by LPA Martinez. LPA's met with Licensee/Administrator (AD) Marjan Arastoo and stated the reason for the visit. Staff Abdul Arastoo arrived shortly after.

LPA's and LPM along with AD Marjan and Abdul conducted a tour of the facility’s physical plant, including the inside of the facility and no immediate health/safety hazards were observed. LPA's inspected random client rooms, bathrooms, kitchen and food service.

Facility's food supply was observed to be in quantity to meet the regulatory requirements during this inspection. Facility menu is posted and meal service for dinner was consistent with the posted menu. Meal consisted of protein, vegetables, carbohydrate and dessert. Fruit juice, tea and water were available for consumption. Hygiene supplies were observed centrally stored in the office. Common bathrooms were clean and observed to have toilet paper, paper towels and hand soap. Staffing was observed as follows: 1 Administrator, 2 Carestaff, 1 Server. Staff Abdul Arastoo is preparing facility meals while Cook returns on 12/14/2021.

Facility currently has 73 clients. AD was reminded that she can not admit new clients until the facility is fully staffed to which AD acknowledged. LPM discussed with AD Marjan and Abdul the staffing resource information. They were provided with list of Staffing Registry.

Microsoft Teams meeting was conducted with Regional Manager (RM) Marina Stanic during this visit. Licensee and AD were informed of 9 clients evaluated by Orange County Mental Health and determined needing higher level of care.