Facility Evaluation Report

Licensing Program Analysts (LPAs) Lydia Martinez, Albert Marin, Norman Woodridge, and Jerome Haley made an unannounced Case Management visit to the facility on 11/02/2021. LPAs met with Administrator (AD) Marjan Arastoo and reason for the visit was explained.

LPAs Martinez, Marin, Woodridge and Haley conducted a tour of the interior and exterior of the facility, which included but not limited random client rooms, common bathrooms, kitchen, dining area, and TV room.

LPA’s observed and AD Marjan confirmed she was the only Caregiver/MedTech for the 75 clients present during the visit. AD Marjan also confirmed she only has the following personnel and provided LPA Martinez with current copy of LIC500-Personnel Report: 1 MedTech/Caregiver who works Friday 8am-4pm, Saturday and Sunday 3pm-11pm, 1 Caregiver who works Friday 3pm-11pm and Saturday 7am-3pm, 1 Housekeeper works Monday thru Friday 7am-12pm, 1 Housekeeper who works Monday thru Thursday 8am-4pm. There are no Housekeepers on weekends. No Activity Director and the Cook resigned. LPA’s observed Assistant Administrator Abdol Arastoo making lunch which consisted of Vegetable/Pasta soup, mixed salad, cottage cheese, saltine crackers, half apple and Tea. There was plenty of frozen food observed such as chicken, beef, and hot dogs/corn dogs. There was milk, bread, vegetables, and fruit.

LPA’s observed and Staff Abdol confirmed ice maker is still broken. LPAs observed the following during the walk through: Dining tablecloths have not been replaced or cleaned, doors are still tied open with plastic bags on second floor, both common bathrooms on second floor had no toilet paper, paper towels and soap dispensers were empty. Upon checking random client rooms, Room 217 was noted to be filled with cigarette smoke and client in the room. Smoke Alarm was non-operational in the room. LPA's also noted Smoke Alarm in room 107 was hanging and non-operational. AD Marjan acknowledged call system is not working either.