Facility Evaluation Report

On 07/07/26, at 7:45am, Licensing Program Analyst (LPA) Gina Saucedo met with Ana Papazyan, House Manager for a Required One (01) Year visit.

LPA explained the reason for the visit. A tour of the physical plant was conducted at 8:50am and the following was noted:

There is one entrance being utilized at the facility. The facility has a total of three (03) bedrooms and two (02) bathrooms. The facility has a waiver for two (2). The facility is currently occupying zero (0) residents.

Bedrooms: There are three (3) bedrooms and two (2) full bathrooms. One (1) of the bedrooms has a private bathroom. There is no staff room. All bedrooms and bathrooms were toured and were properly furnished and have appropriate bedding, linens, toiletry, and lightning. The bathrooms have proper toiletry, grab bars and non-skid mats. The bathroom temperatures of the water are within regulations reading at 119–119.5-degree Fahrenheit.

The dining/living room area has enough seating for the residents and the staff. There Is another fire extinguisher on your right-hand side fully charged at the entrance of the facility. There is a fireplace that is covered.