Facility Evaluation Report

Licensing Program Analyst (LPA) Michael Cava conducted an Annual Required visit and inspection of the facility. LPA met with the administrator, Harytyun Arzumanyan and explained the reason for the visit.

At approximately 10:15am, with the assistance of the administrator, LPA took a tour of the physical plant. The facility is a one story building. Fire clearance is for five (5) non-ambulatory and one (1) bedridden. Bedridden fire clearance is for either room #3 or #6 only. Required postings were observed in the entry area. The smoke alarms and carbon monoxide are dual. They are battery operated. The facility has two brand new fire extinguishers that were purchased 11/08/24. One is located in the hallway by resident rooms and the other is located in the kitchen.

Kitchen: The kitchen appliances and fixtures were functional. LPA found a sufficient amount of perishable and non-perishable food at the facility; properly stored. Knives are stored in a locked drawer in the kitchen.

Bedrooms: There are six (6) bedrooms designated for residents' use. All six bedrooms were properly furnished with appropriate beddings and linens with sufficient lighting.

Bathrooms: There are four (4) bathrooms of which three (3) are designated for residents' use. One bathroom is designated for staff and guests. The bathrooms designated for the resident's use were properly supplied and had functional fixtures. Hot water temperature was measured at 115 degrees Fahrenheit. No cleaning supplies in resident bathrooms observed during annual visit.

Common Areas : These included the living room and dining area. The common areas were properly furnished. The dining room has a large dining room table suitable to serve up to six (6) residents. There is a fireplace, that is non-operational. The auditory alarms on all exit doors were on and functional at the time of the visit.