Facility Evaluation Report

Licensing Program Analyst (LPA) Nadia Shahbazian conducted an unannounced Required - 1 Year annual inspection visit. Upon arrival LPA was greeted by Elmer Manalang and explained the purpose of the visit. Administrator Tina Arutyunyan arrived around 11:05am. Residential Care Facility for Elderly (RCFE) is licensed for six (06) non-ambulatory residents ages 60 and above. Facility has a hospice waiver for four (04) and is approved for two (2) bedridden residents, to occupy bedroom#1. Current census is three (3) residents, two (2) of them are non-ambulatory.

LPA toured the facility with the Administrator at 10:50 am and observed the following:

Required postings were observed by the entry door and office area. The house is one-story, in a residential neighborhood and the physical plant appeared clean, sanitary and with no visible immediate hazards. The front entry is the main emergency door with four (4) additional exits (the kitchen, bedrooms #1, #2, and #3) leading to the backyard. There is one (1) fire extinguisher in the kitchen, purchased on 09/24/2025. Facility conducts quarterly fire and safety drills; the last fire/earthquake drill was conducted on 02/05/2026. The dual smoke alarms and carbon monoxide detectors are battery operated. Smoke/carbon monoxide detectors were tested in several rooms and were observed to be functional. Facility is equipped with fire sprinklers in every room and also facility has land-line telephone, cable, internet for resident's use.

Common Areas : Living room is located upon entrance and is furnished with a table and ample sitting for all the residents and staff. There is a television and gaming area in the living room. The office area is located in one corner of the living room. Dining area is located in the kitchen, furnished with a table and six chairs.