Routine inspection·June 29, 2022

Licensing Program Analyst Ryker Heberle (LPA) conducted an unannounced annual inspection on 06/29/2022 at 3:40pm. LPA met with facility administrator Mina Abbasvand (Admin). LPA toured the facility including, front hallway, 3 bathrooms, kitchen, dining room, living room, 5 resident bedrooms, medicine/PPE cabinet, and porch visitation area. Admin confirmed that all residents and staff have been vaccinated. Facility infectious control plan has already been submitted and is pending approval. No prohibited items noted in resident rooms. All emergency exits noted to be clear of obstruction. All rooms in facility noted to be clean and well maintained. Facility water temperature observed to be 107.8*F. Fire extinguisher noted to have received inspection in September 2021. Smoke detectors observed to be operational. Facility observed to have 2 days supply of perishable food and 1 weeks supply of non-perishable food. Facility observed to have designated entry point for universal symptom screening with questionnaire. All restrooms observed to be adequately stocked with paper towels, hand sanitizer, and hand soap. Bathrooms observed to have foot operated trash cans. Facility observed to have adequate supply of PPE. No deficiencies cited during this inspection. This report reviewed with Administrator Mina Abbasvand and a copy of the signed report was provided.