Facility Evaluation Report

Licensing Program Analyst (LPA) Albert Marin and Ruth Martinez made an unannounced visit to conduct case management - annual continuation. LPAs met with Administrator (AD) Abdul Arastoo and stated the purpose of this visit.

During the February 25, 2022 facility annual inspection visit, LPAs Marin and Martinez toured the interior and exterior portions of the facility with AD Arastoo. LPAs inspected each clients room; and observed that smoke sensor flashed a green light indicator. Fire alarm panel inspection was done last November 4, 2021. Carbon monoxide detector in each building were tested to be operational. Common bathrooms were provided with grab bars, and stocked with hygiene products. Hot water was measured from 110 to 115 degrees Fahrenheit. in the common dining area, LPAs observed posted menu for week, and weekly activities. Facility met the minimum 2 day perishable and 7 day no perishable food stock requirements. Kitchen sharp items were kept inside the kitchen not accessed by clients in care. Cleaning supplies and toxins were stored in a locked supply room located in Building B. Medications were kept in a cabinet inside the medication room and rendered inaccessible to clients. Grounds were provided with chairs and free of any obstruction hazards.

During February 25, 2022 visit, the following deficiencies were observed and verified with AD Abdul Arastoo:

10:00 AM, in Room 2A: Clutter inside the room. Personal belongings of Client 1 were observed on the floor. Bed of Client 1 did not have the necessary linen. Mattress of Client 1 was covered with stains.

10:02 AM Room 1A: Electric fan grill and blade were coated with black material consistent with dust.

10:07 AM Common Bathroom 2 in building A: Stains around the sink and below the soap dispenser consistent of liquid or water damage. Exhaust vents were found with cobwebs, and covered with black material consistent with grease and dust.

10:10 AM Kitchen: Cupboard surfaces were covered with brown to black grainy surfaces. Stove exhaust were covered with brown to black material consistent with grease and dust. Floor under the movable rack appeared to be partly covered by black and greasy material. Under sink cabinet was in disrepair with broken cabinet wall and floor.

10:13 AM Kitchen: Inside the refrigerator, 2 servings of ice cream were observed with no cover; and unopened cauliflower packaging with brown to black inside growth consistent with molds.

10:41 AM, LPA Marin reviewed the sign out and sign in log and observed that Client 2 was not in the facility and did not sign out.