Facility Evaluation Report

Licensing Program Analyst (LPA) Bethany Mirlohi arrived unannounced to conduct the annual inspection. Upon arrival LPA met with caregiver, and spoke to Administrator Elomense Aburekhanlen over the phone. Currently there are 5 residents residing at the facility.

LPA toured facility with administrator to ensure health and safety of residents in care. LPA toured 5 resident rooms, 1 staff room, 2 bathrooms, kitchen, common living spaces, backyard and the garage area. In the areas toured no immediate health, safety, or personal rights violations were observed. LPA toured the backyard and all exits are accessible and unlocked. There is a locked storage for medications and toxins. Food supply is adequate for 2-day perishable and 7-day nonperishable. LPA observed an adequate amount of linens and found the first aid kit to be complete.

During today's inspection Administrator was out of town and LPA was unable to review facility files. LPA will return on a later date to complete annual inspection.

Exit interview conducted and copy of reports provided. Appeal rights given.