Facility Evaluation Report

Licensing Program Analyst (LPA) Maria (Mita) Partoza conducted an unannounced case management – legal/non-compliance visit and met with licensee/ designated administrator Fatemeh Kaykha & Abdullah Kaykha.

The purpose of the visit is to ensure the facility is adhering to the compliance plan submitted to Community Care Licensing (CCL) after a non-compliance meeting held on 12/23/2024.

During the visit, LPA toured the facility with ADM inside and outside. Including but not limited to the kitchen, dining, resident bedrooms, restroom, and exterior perimeters and walkways. LPA observed 1 staff who has a cleared criminal background and associated to the facility.

Based on the non-compliance plan, Licensee/administrator shall develop a plan which was submitted on 1/22/2025. A revision was submitted on 2/15/2025. The plan included Plan of Operation for New Residents, Intake, Admission, Entrance and Exit Criteria, Plan of Operation for Managing Challenging Behaviors, Staff Training, Behavioral Management, Safety Protocols and Plan of Operation for Administrator Oversight and Compliance, Assessment of Individual Care Plans, Communication Protocols, Emergency and Preparedness and Response Plan. The Licensee implemented a daily, weekly log to ensure the water temperature is monitored and maintained per Title 22 regulation (105-120 degree F). During today's visit water temperature measured at 105.9 degree F.