Facility Evaluation Report

Licensing Program Analyst (LPA) Antonia Alvizar conducted an unannounced Annual Required visit to this facility. LPA met with Administrator, Michael Petrosian and explained the reason for the visit.

At 11:00a.m. LPA and Administrator tour of the physical plant for compliance with safety, maintenance, and operational requirements. LPA utilized the Compliance and Regulatory Enforcement (CARE) tools for the visit today and observed the following:

Facility is a single-story house in a residential neighborhood and consisting of a common area, three (3) bedrooms, one (1) full bathroom and a half (1/2) restroom currently occupying six (6) residents. There is one entrance being utilized at the facility, there are required posters at the main door. Smoke detectors are hard wired and are interconnected. Smoke detectors and Carbon Monoxide detectors were tested and function properly. Facility disaster drills was conducted on 11/01/2023. The facility maintains a comfortable temperature at 74°F. There is a charged fire extinguisher in the facility. Fire extinguisher is located in the laundry room. Fire extinguisher is fully charged and receipt of purchased was 01/09/2023. Cleaning supplies and toxic substances are inaccessible to residents. Hot water temperature was tested in common bathroom and in the kitchen. The hot water temperatures measured between 107.2 - 110.1 degrees Fahrenheit (F) which are within the required range for residents comfort and safety.

Kitchen: The kitchen appeared clean and fixtures functional. Kitchen knives and other sharp items are stored in a lock drawer in the kitchen. The supply of dishes and eating utensils was more than adequate. Household cleaning and supplies are kept locked in a cabinet under the sink. On the premises that is in the kitchen there was a functional telephone.

Laundry Room: Equipped with washer and dryer. Laundry supplies are kept locked in a cabinet. Located next to the kitchen.