Facility Evaluation Report

Licensing Program Analysts (LPA) Santino Fortes and LPM Jackie Jin conducted an unannounced annual inspection, and met with Licensee Farnoosh Ebadat and ADM Joel Pongyan. ADM informed that facility has 2 staff and 5 clients.

LPAs toured the facility inside out including: kitchen, living room, 3 resident rooms, office, and 3 restrooms. Restrooms observed to have non skid flooring. LPAs observed perishable food supply of at least two days and non-perishable food supply of at least 3 days. Refrigerator temperature was observed at 44.0 degrees F and Freezer temperature was 0 Degrees F. During visit ADM stored the laundry soap in a locked cabinet in the garage to correct. The front yard and backyard of the facility was also inspected. There was no obstruction to block the outdoor exits. Old furnitures were observed outside the side gate. ADM was informed to remove the items and keep the exit areas clear of debris. Storage room in the garage was observed to be used as a staff rest area containing beds and personal items. ADM was informed that storage areas are not to be used for any other purposes other than storage.

Facility License and Resident Personal rights were posted. LPA observed the medication storage area, knives storage area, and cleaning product storage area are locked and inaccessible to clients in care. Room temperature was at 72.1 degree F, and hot water temperature was measured from resident bathroom at 128.6 degrees F. ADM adjusted the water heater setting and water temp was 116.4 degrees F. LPA inspected the facility first aid kit and it was observed to be complete. The facility was equipped with smoke / carbon monoxide detectors and functioned properly when tested. Fire extinguishers were last serviced on 8/2/24. The facility conducted their last fire drill on 8/16/24.

LPA reviewed facility records for 3 staff and 5 clients. All staff have criminal record clearance. LPA reviewed 5 clients medications and centrally stored medication records and observed to be correct.