Facility Evaluation Report

Licensing Program Analyst (LPA) Christine Kabariti arrived unannounced to conduct the facility's annual required - 1 year inspection. LPA met with Administrator, Tayebeh Sedigh.

During visit, LPA toured the facility with the staff to include the activity rooms, kitchen, dining room, living room, laundry room, garage, 3 resident bedrooms, 2 staff bedrooms, bathrooms, and exterior. There were no residents present in the facility. All staff present are fingerprint cleared and associated to the facility.

LPA observed the facility sketch does not match the actual purpose of the rooms in the facility. LPA observed the staff room to the left of the main entrance is now being used as an activity room, the recreation room next to the right of the main entrance is now being used as a staff room, and the staff room at the end of the hall to the right of the facility is now being used as a recreation room. Administrator had an updated copy of the facility sketch that the Department did not receive. Administrator was advised to make adjustments and submit an updated facility sketch to match the physical plant.

The facility has an empty pool that is fully fenced, The fence is at least 5 ft high. Facility temperature maintained between 64 - 68 degrees F. Fire place observed screened in the living room. Activities calendar posted. Chemicals, disinfectants, toxins, and medications observed locked. Facility has at least 2 days worth of perishables and 7 days worth of non-perishable foods. Refrigerator temperature maintained at 2 degrees C and freezer temperature maintained at -18 degrees C. Sharp objects observed locked.