Facility Evaluation Report

Licensing Program Analyst (LPA) Vincent Moleski arrived unannounced to conduct an annual inspection. LPA Moleski spoke with facility administrator Bayarmaa Ragchaa over the phone and explained the purpose of the visit. Ragchaa said staff member Byambasuren Zagdragchaa could sign this report in her absence.

LPA Moleski reviewed three resident files (R1-R3) and three staff files (S1-S3).

While LPA Moleski was conducting this inspection, all four residents were present at the facility. Zagdragchaa was the only staff member present at the time.

LPA Moleski toured the facility with Zagdragchaa and inspected common areas, the kitchen, bedrooms, bathrooms, and backyard areas. Furniture and furnishings were sufficient to meet the needs of residents. The facility temperature was 70 degrees Fahrenheit, which is within the required range of 68 and 85 degrees. The facility's water temperature measured 115 degrees Fahrenheit, which is within the required range of 105 and 120 degrees.

LPA Moleski observed first aid supplies, a fully-charged and up-to-date fire extinguisher, and carbon monoxide/smoke detectors. LPA Moleski observed a minimum 2-day supply of perishable food and a minimum 7-day supply of nonperishable food. LPA Moleski observed a locked cabinet for the storage of medication. LPA Moleski observed locked cabinets for the storage of cleaning solutions and knives.

LPA Moleski interviewed one staff member (S1) and two residents (R1-R2).

This facility is being cited per 22 CCR Section 85065.5(a)(1). An exit interview was held with Ragchaa. Appeal rights and a copy of this report were left with Zagdragchaa.