Facility Evaluation Report

Licensing Program Analyst (LPA) Albert Marin made an unannounced visit to conduct a case management in this facility. LPA Marin was granted entry in the property. Administrator (AD) Abdul Arastoo was informed about the presence of LPA in the facility. AD arrived in the facility shortly after. LPA informed AD the purpose of this visit

LPA Marin conducted a tour in the interior and exterior portions of the facility. LPA inspected random clients rooms; and common areas. LPA tested the battery operated smoke and carbon monoxide detectors and were observed to be operational. LPA observed about 10 clients in common areas and one staff member on the floor. AD gave update on staffing plan of the facility. AD agreed to provide LPA with updated copy of LIC 500 (Personnel Summary Report) and employment documents of the prospective staff by the end of business day today.

For this visit, no citation has been issued.

LPA Marin conducted an exit interview with AD Arastoo. LPA left a copy of this report and list of home care organizations for use and reference of the facility.