Facility Evaluation Report

Licensing Program Analyst (LPA) Troy Agard conducted an announced visit to the above facility for the purpose of a pre-licensing evaluation. LPA met with Administrator, Varsenik Keshishyan and explained the purpose of the visit. During the inspection LPA toured the inside and outside of the facility and verified the address of the location.

An application was submitted to Community Care Licensing Division (CCLD) on 06/21/2022 for a Change in Ownership (CHOW) for a Continuing Care Residential Community (CCRC) . The total requested capacity is for 175 residents. Facility has a fire clearance dated on 09/22/2022 for 100 ambulatory, 70 non-ambulatory and 5 bedridden residents. There is no memory care unit.

Structure: The facility is located in a residential neighborhood. It is 4-stories in height with a lower level (LL). There is also a skilled nursing facility adjacent to the building. The facility has approximately 140 resident-bedrooms in total. Upon entry on the first floor, the concierge desk is directly to the right. Straight ahead is the main dining room/ lounge area and courtyard. The right hallway is the Assisted Living (AL) wing and the left hallway is the Independent Living (IL) wing. Residents bedrooms run throughout the facility on the 1 st , 2 nd , 3 rd and 4 th level. On the LL there is a laundry room, several activity rooms, a gym, movie cinema, beauty salon, private dining space and storage as well as some administrative offices. 1 st floor contains several lounge/meeting areas, courtyard, dining, bistro, clinic for medications, kitchen, storage and library. The facility has a parking lot adjacent to the west wing of the building. The courtyard contains a covered patio. LPA did not observe hazards, such as ladders, gardening tools and/or motorized equipment in the front, back and/or side areas of the facility.

Bedrooms: Bedrooms have a chair, nightstand, over-head lighting, dressers and/or closets. The facility can provide furnished or unfurnished rooms. The closets and drawers comply with the requirement of 8 cubic feet of space.