Facility Evaluation Report

Licensing Program Analyst (LPA) Nadia Shahbazian conducted an Annual Required visit and inspection of the facility. LPA met with Administator - Michael Petrosian and explained the reason for the visit. The facility is licensed to serve Elderly residents ages 60 and above with developmental disabilities Facility is approved to serve (6) Non-Ambulatory residents, of which (6) may be Bedridden, with hospice waiver for (6) The home is vendorized by Frank D. Lanterman Regional Center.

At 11:45am, with the assistance of administrator, LPA took a tour of the physical plant. Required postings were observed in the hallway. The smoke and carbon monoxide detectors are hardwired and interconnected. At 10:18am smoke/carbon monoxide detectors were tested and observed to function properly. The fire extinguishers are located in the kitchen and the hallway, both purchased on 01/28/2025.

Kitchen: The kitchen appliances and work surfaces are clean and sanitary, all appliances were observed to be functional. LPA found a sufficient supply of perishable (2 days) and non-perishable (7 days) foods at the facility. Knives were stored in a locked drawer in the kitchen. There is a dining set on one corner of the kitchen.

Bedrooms: There were five (5) bedrooms designated for residents' use. All of the bedrooms, in use by residents were were properly furnished with appropriate beddings and linens with sufficient lighting.

Bathrooms: There are two (2) bathrooms designated for residents' use. Both bathrooms had required functional fixtures, grab bars and non-kid mats. Hot water temperature was measured at 107.2 and 109.4 degrees Fahrenheit.