Facility Evaluation Report

On August 22, 2025, at 10:30 AM Licensing Program Analyst (LPA) Kayla Adkison arrived at the facility unannounced to conduct a Required 1-Year inspection. LPA met with administrator Saeed Hedayattzadeh and explained the purpose of the visit. One (1) resident and one (1) staff was present at the facility during the inspection. Remaining residents were participating in activities at an off-site day program.

LPA Adkison and administrator toured the facility together to ensure the health and safety of residents in care. Areas toured include but are not limited to five (5) resident rooms, common areas, two (2) bathrooms, kitchen, garage and back yard. Three (3) staff and three (3) resident files were reviewed and contained all required documentation. Medications were observed to be locked in a cabinet rendering them inaccessible to residents in care. Medication administration records (MAR) were reviewed for accuracy and found to be in compliance.

Common areas, kitchen, and bathrooms, were all observed to be clean and in good repair. All bedrooms had required furniture, bedding, and lighting. Cooking/dining equipment and utensils were present. Facility has the required (7) seven day non-perishable and (2) two day perishable supply of food. LPA observed all cleaning supplies and toxins to be kept in a locked cabinet under the kitchen sink. The facility has a calendar of events planned and posted for residents to view. Per the administrator, the facility is planning a trip to San Francisco for (3) three residents for the upcoming weekend.

The facility was observed to be at a comfortable temperature. First aid kit fully stocked and ready for emergency use. Fire extinguisher fully charged and last inspected in August 2025. Smoke detectors are all operational. Hot water temperature measured within required Title 22 regulations. All required postings are displayed within the facility. No pools/bodies of water are on the premises. The last disaster drill was conducted and documented in May 2025.

No deficiencies are being cited as a result of this inspection. This facility is in compliance with Title 22 regulations. Exit interview conducted and a copy of this report was provided to administrator, Saeed Hedayattzadeh.