Facility Evaluation Report

Licensing Program Analyst (LPA) Manuel Monter conducted an unannounced annual inspection visit, and met with Staff S1 Esha Dhiman. During the visit, LPA observed 6 residents and 2 staff. LPA explained the purpose of the visit. S1 contacted facility Administrator Amritpal Kaur Powar. ADM stated had a prior appointment and stated S1 can assist LPA with the annual inspection.

LPA toured the facility inside out with S1 which included the Living room, kitchen, dining room, 2 restrooms and 3 residents bedrooms. There was no obstruction to block the walkways. The staff area of the facility was also inspected. The front yard and backyard were inspected.

While touring the backyard, LPA observed several dozen cigarette buds on the ground, adjacent to bedroom #4 and the family room exit to the back yard. LPA also observed a fallen tree foliage on the backyard ground as well. LPA noted additional tree foliage on the side of the home, adjacent to bedrooms 2 & 3.

While touring the hallway bathroom adjacent to bedroom #3, LPA observed a container of lysol toilet cleaner in the cabinet below the sink. LPA also observed the shower in bedroom #3 had a stained non slip bath mat and the lower sections of the shower had grime, that was slightly orange in color. LPA also observed the air extractor in the hall way bathroom had lint.

LPA toured the facility garage. Note the laundry area and garage do were not locked. During the visit, residents were using the garage/laundry area as a exit. While touring the garage, LPA observed the following items, accessible: Sevin insect Killer and lighter fuel. Page 1 Out of 3.