Facility Evaluation Report

On 9/21/2022, Licensing Program Analyst (LPA) Cassie Yang arrived to the facility unannounced to conduct a Required 1-Year annual. LPA met with manager, Sargis Melisetyan who contacted Administrator, Tanya Chenko, who arrived to the facility shortly afterwards. Prior to today's inspection, LPA completed required COVID-19 testing protocols and completed daily assessment and confirmed the facility does not currently have any positive Covid-19 diagnoses. LPA ensured she applied hand sanitizer before entering the facility and the following Personal Protective Equipment (PPE) was worn: surgical mask.

LPA and Administrator toured the interior of the facility including the staff office, conference room, computer room, quiet room, (2) activity room, restroom, kitchen, storage room and common area. In the areas toured no immediate health, safety, or personal rights violations were observed. LPA observed paper towels, soap and hand washing signs in restroom. LPA observed toxics to be locked and secured. Administrator informed LPA clients do not take medications at the facility. Administrator informed LPA there are no sharps at the facility, only plastic knives. Fire extinguishers last serviced 6/8/2022. LPA observed the facility temperature to be at 76*. LPA observed the Administrator Certificate #6002598735 to be up to date with expiration 5/23/2023. LPA and Administrator followed the infection control domain guidelines and facility was found to be in substantial compliance at this time.

LPA obtained a copy of the current Administrator Certificate, liability insurance, activity calenda r, LIC 500 and LIC 308. No other documents are requested at this time.

As a result of today's inspection, there were no deficiencies observed.

Exit interview conducted and a copy of the report was left at the facility.