Facility Evaluation Report

This announced inspection is being conducted by Licensing Program Analyst (LPA) Sean Haddad for the purpose of delivering the report for an Annual Inspection conducted on 9/3/21 and conducting a Technical Assistance inspection via tele-visit due to COVID-19 and for precautionary measures. LPA Haddad met with Administrator (AD) Marjan Arastoo and discussed the purpose of the inspection. LPA Haddad paused the inspection 12:00 PM and resumed the inspection at 1:00 PM.

During the inspection on 9/3/21, Licensing Program Manager (LPM) Marina Stanic and LPAs Lydia Martinez, Norman Woodridge, and Sean Haddad, AD, and facility staff Abdul Arastoo conducted a tour of the inside and outside of the facility, common areas, resident rooms, and kitchen and observed the following:

During the inspection, LPAs and AD observed there were 5 staff present. LPAs observed 74 residents were present. LPAs confirmed the residents were doing well. LPAs inspected common areas, resident rooms, and kitchen. LPAs observed the facility has a 2-day supply of perishables and a 7-day supply of non-perishable food is available as required by regulations. LPAs observed hallways and walkways were free of obstruction.

During the inspection on 9/3/21, LPAs observed multiple public bathrooms lacking soap, paper towels, and toilet paper. During today’s inspection, LPA Haddad and AD observed the public bathroom on the first floor lacking soap and toilet paper.

LPA Haddad reviewed and confirmed facility policies and practices regarding resident screening, staff screening, visitation, COVID-19 surveillance testing, COVID-19 clearance testing, quarantine, isolation, cohorting, staffing, infection control/lead/training, PPE, staffing and staffing shortages, and communication and emergency plan.