Facility Evaluation Report

Licensing Program Analyst (LPA) Kathleen Banrasavong conducted an announced visit to the facility for purpose of a Pre-Licensing evaluation. LPA met with Licensee, Soheila Rezazadeh and Administrator, Sogand Taheri. An initial application to operate a Residential Care Facility for the Elderly (RCFE) was submitted to the Central Applications Bureau (CAB) on 05/05/2023 for a total capacity of three (3) residents. Fire clearance was granted on 10/10/2023. LPA Kathleen Banrasavong observed the following:

Facility is a one-story house with a second bedroom upstairs. There are two (2) resident’s bedrooms, one (1) office and one (1) staff bedroom, one (1) residents’ bathroom, one (1) staff bathroom, living room, dining area and kitchen. There was an attached two (2) car garage. There is not a pool.

Central heating and air conditioning system are installed and operable. Temperature was set at 77 degrees.

Each resident bedroom #1, #2, #3, #4 were in good repair. Four (4) bedrooms were adequately furnished with bed, chair, closet, appropriate linens, adequate lighting, and an operable smoke alarm and carbon monoxide alarms.

Two (2) resident’s bathrooms have a working toilet, wash basin, and shower with an adequate supply of paper towels, toilet paper, and hand soap dispensers. LPA tested the water temperatures in the resident bathrooms. LPA verified water temperature was measured at 105 degrees Fahrenheit.