Facility Evaluation Report

Licensing Program Analyst (LPA) Kelly Dulek arrived at the facility unannounced to conduct a required annual visit at 11:27AM. The LPA was greeted by staff and explained the reason for the visit. Facilty Designee Ernis Sabyrov arrived shortly thereafter. Administrator Elmira (Emma) Sabyrova arrived at approximately 01:00PM.

Beginning at 11:52AM, the LPA and Facility Designee 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. The following was observed:

Fire extinguisher was observed to be fully charged and purchased on 09/13/2023. Hardwired combination smoke and carbon monoxide detectors were tested at 02:30PM and were operational at the time of the visit.

KITCHEN: Knives and sharps were observed in a locked drawer next to the stove. Kitchen appliances appeared to be in operable condition. The facility has a sufficient supply of perishable and non-perishable food and a locked refrigerated medication box.

COMMON AREAS: Living and dining room furniture were observed to be in good condition. The LPA observed required postings throughout the common space. The garage is attached to the facility and is locked and inaccessible. Garage contains laundry facilities, extra food, cleaning supplies and emergency food and water.

RESTROOMS: The resident restrooms were clean and sanitary and in operating condition with grab bars and non-skid surfaces. The bathrooms were sufficiently stocked with soap and paper towels. The hot water temperature was measured in a sample of bathrooms and was within the required range.

BEDROOMS: There are 6 (six) private resident bedrooms, which were furnished with appropriate linens and