Facility Evaluation Report

Licensing Program Analyst (LPA) Marcella Tarin conducted an unannounced Required 1-Year inspection and met with Administrator (ADM) Mina Abbasvand. LPA stated the purpose of the visit. ADM states the facility has 6 residents. LPA observed 6 residents, 2 staff and ADM.

LPA toured the interior and exterior of the facility with ADM to include the kitchen, resident rooms, dining room, bathrooms, back and front of the facility. Facility thermostat temperature display was observed at 69 degrees F. All exit and passageways were free and clear of obstruction.

LPA toured the kitchen area and observed a perishable food supply of at least two days and a non-perishable food supply of at least seven days. LPA measured refrigerator temperature at 40 degrees F and Freezer at 0 degrees F.

LPA observed the medication storage area, knives storage area, and cleaning product storage area as locked and inaccessible to residents in care.

The facility was equipped with smoke and carbon monoxide detectors. All smoke detectors functioned properly when tested by ADM. Fire extinguishers were last serviced on 8/27/2024. LPA reviewed the facility first aid supplies. The facility emergency drill log was reviewed. The facility's last drill was on 3/6/2025.