Facility Evaluation Report

Licensing Program Analyst (LPA) Nadia Shahbazian conducted an unannounced annual required visit and inspection of the facility. LPA met with Tina Arutyunyan - Administrator and explained the reason for the visit. The facility is licensed to serve six (6) non-ambulatory residents, of which (1) may be bedridden. Facility has an approved waiver for (4) hospice residents.

At 10:45am, with the assistance of Administrator, LPA took a tour of the physical plant. The facility is a one story structure with six (6) bedrooms, two (2) bathrooms, kitchen, dining room, living room and office area. Required postings were observed in the office area. The smoke/carbon monoxide detectors are hardwired and interconnected. At 11:05am smoke/carbon monoxide detectors were tested and observed to be functional. The fire extinguisher is located in the hallway and was purchased on 09/25/2025. Facility conducts quarterly fire drills, the last fire drill was done on 10/05/2025. The auditory alarms on all exit doors were functional at the time of the visit.

Common Areas : These included the living room and dining room. There is a television set, gaming area and a covered fireplace in the living room. The common areas were properly furnished with tables and chairs for the number of residents.

Kitchen: The kitchen appliances and fixtures were functional. LPA found a sufficient supply of perishable (2 days) and non-perishable (7 days) foods at the facility. Chemicals and detergents were stored in a locked cabinet in the hallway, next to the living room. Knives were stored in a kitchen drawer but LPA observed a small scissors and a large, sharp knife in a drawer. Staff immediately removed and locked the sharp objects; a citation will be provided.