Facility Evaluation Report

LPA Audrey Jeung toured facility and grounds, including detached storage structure in backyard. There are three client bedrooms, one of which is a master bedroom with private full bathroom. There is a common bathroom, and open floor plan that includes kitchen, dining and living room. Washer and dryer are located in two car garage, which has been remodeled and serves as a storage room with door and full bathroom. There are no accessible bodies of water nor fire safety hazards observed. Nest Protect carbon monoxide detector is operable. Food supply and first-aid kit are inspected, and hygiene items for general use are maintained. Criminal record clearances or exemptions for facility staff or other individuals who have client contact have been reviewed, as well as required staff records. Marjan Gholizadeh and Khosrow Zareghebeiti are ARF administrators (x 4/26 and 9/27) that oversee facility operations. There is no staff room. Client files are reviewed, including Centrally Stored Medications Records. One client is over age 60, and administrator is advised that annual MD reports and appraisals must be maintained.

Deficiencies of the California Code of Regulations, Title 22, are cited on following pages. See also Technical Advisory Notes issued--2 pages.