Facility Evaluation Report

Licensing Program Analyst (LPA) Zabel Chochian arrived at the facility for a required annual inspection. Upon arrival, the LPA was greeted at the door by staff. Administrator Cilva Toume was contacted by staff. Assistant Administrator Vana Barberis and Licensee Cilva Toume arrived shortly thereafter.

At approximately 10:45am, the LPA began the physical plant tour (inside and outside) to ensure there are no health and safety hazards and that facility is in compliance with Title 22 Regulations. The following was observed: COMMON AREAS : The LPA observed common area to be clean and properly furnished at the time of the visit. The LPA observed the fire extinguisher to be fully charged and last purchased on 05/2025. Smoke and carbon monoxide detectors were tested and functioned properly. The temperature is maintained at a comfortable level of 76 degrees F. Cleaning supplies and disinfectants are stored inaccessible under the kitchen sink cabinet, in the garage. KITCHEN: Kitchen/dining area observed. Knives and cleaning supplies are stored inaccessible. Kitchen appliances were in operable condition. Supply of perishable food items good for two days and non-perishable food items for seven days observed at the facility during todays visit. RESTROOMS : Observed restrooms to be clean and sanitary and in operating condition with grab bars and non-skid surfaces during todays visit. Hot water measured at 108.6 degrees Fahrenheit in both restrooms. BEDROOMS: The LPA observed resident bedrooms, which were furnished appropriately with clean linens, appropriate furnishings, and sufficient lighting. Resident #1's bed observed with two half rails position to make full rail (Resident #1 is not on hospice). Staff removed the rails during the visit. Bedroom #6 (near the living) is cleared for ambulatory resident only. Current room #6 is occupied by a non-ambulatory resident. Pending fire clearance update/changes, Licensee stated that she will provide 24hour awake staff, pending transfer of Resident #6 to the room cleared for non-ambulatory upon communicating with resident #1's responsible person and pending fire clearance update/changes. Continue to LIC809c.