Facility Evaluation Report

Licensing Program Analyst (LPA) Nadia Shahbazian conducted an Annual Required visit and inspection of the facility. LPA met with Administrator - 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 with hospice waiver for three (3). Current census is six (6) and all residents are receiving services through Frank D. Lanterman Regional Center.

The facility is a single-story structure located in a residential neighborhood. It consists of the following: Three (3) resident's rooms, two (2) common bathrooms, living room, dining room, kitchen, laundry room, a covered patio and a detached garage used for storage. At 11:25am, with the assistance of administrator, LPA took a tour of the physical plant. Required postings were observed by the entry door. The smoke and carbon monoxide detectors are hardwired and interconnected. At 10:48am smoke/carbon monoxide detectors were tested and observed to function properly. The fire extinguisher is located in the laundry room, purchased on 01/28/2025. Facility conducts emergency drills quarterly, the last Fire Drill was conducted on 09/03/2025 and the last earthquake drill was conducted on 08/04/2025.

Kitchen: The kitchen appliances and work surfaces are clean and sanitary. Appliances consisted of refrigerator, stove/oven, microwave and counter-top oven and all appliances were observed to be functional. Facility has 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 and chemicals were observed to be stored in locked cabinet underneath the sink. The laundry area is located off the kitchen and during the visit, LPA observed the machines to be in working condition. There is an exit door in the kitchen, leading to the backyard.