Facility Evaluation Report

Licensing Program Analyst (LPA) Lydia Martinez conducted an unannounced Case Management visit to check on the Health and Safety and Welfare of the clients in care. LPA was greeted and granted entry by Administrator (AD) Marjan Arastoo and reason for visit was discussed.

LPA and AD Marjan toured the facility. AD Marjan stated she has a prospective employee pending. AD stated she is only Caregiver/MedTech. LPA observed 2 Housekeepers. LPA inspected the kitchen and observed Assistant Administrator Abdol Arastoo serving lunch which consisted of vegetable soup, mixed salad with croutons and cottage cheese, half an apple and tea. LPA observed the facility has a 2 day supply of perishable and 7 day of non-perishable food on hand. LPA observed the food supply contained fresh vegetables, fruits and fresh juice. LPA observed toilet paper, paper towels and hand soap in all 3 common bathrooms, observed the hallways and stairways were free of obstructions and hazards, observed the cleaning chemicals are kept locked in a closet and inaccessible to clients. LPA observed clients smoking outside and others watching TV in the main room by the entrance. LPA toured the second floor and inspected several random rooms of the facility, interviewed random clients who stated lunch was delicious. LPA observed client in shared rooms 202A and client in shared room 211 smoking in their room. AD Marjan stated new ice machine was ordered back in July 2021 and have been told it's on back order and they have a repair man coming out this week to take a look at the call signal system. LPA noted dining room table cloths have been replaced with new ones.

Based on the observation made during today’s inspection, deficiency will be cited per Title 22 Division 6 of the California Code of Regulations. See LIC809D. An exit interview was conducted with AD Marjan, a copy of report and Appeal Rights will be emailed.