Facility Evaluation Report

Licensing Program Analyst (LPA) Elsie Campos arrived at the facility unannounced to conduct a required annual visit at 10:20 a.m. The LPA was greeted by staff and explained the reason for the visit. Administrator Elmira Sabyrova arrived shortly thereafter.

At 10:45 a.m. the LPA and staff toured the physical plant areas inside and outside to ensure there are no health and safety hazards and facility is in compliance with Title 22 Regulations.

Kitchen: The LPA inspected the kitchen and food area at 10:45 a.m. Knives and sharps were observed in a locked drawer next to the stove. Kitchen appliances were in operable condition. The facility has a sufficient supply of perishable and non-perishable food. Refrigerator and food pantry were checked for proper labels and expiration dates. At 10:49 a.m. the LPA discovered the following expired items in the refrigerator, expired cabbage, bell pepper, milk expired 9/2/23 and 9/3/2023, Parmesan cheese expired 12/30/2022, pickles expired 4/2/2023, cheese expired 9/6/2023, cream cheese expired 4/16/2023 and 6/4/2023. Staff disposed of all expired items at the time of the visit. The LPA also discovered unlocked refrigerated medications. LPA advised Administrator that refrigerated medications need to be kept in a lock box.

Common areas: Living and dining room furniture were observed to be in good condition. At 12:00 p.m., smoke detector(s) and carbon monoxide detector were tested and were operational at the time of the visit. The LPA observed required postings throughout the common space. The fire extinguisher was observed and last purchased on 12/27/2021. Administrator advised they would replace the fire extinguisher immediately. The laundry room is located in the main hallway and is locked and inaccessible. The garage is attached to the facility and is locked and inaccessible. The facility has a sufficient amount of emergency water and food supplies.