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 9:45am, with the assistance, 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, for a total capacity of six (6). 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 fire extinguishers, located in the hallway by resident rooms and one in the kitchen. Both fire extinguishers were purchased on September 24, 2025.

Kitchen: The kitchen appliances and fixtures were functional. LPA observed a sufficient amount of perishable and non-perishable food 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. Rooms have sufficient closet space and 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 116 degrees Fahrenheit. No cleaning supplies observed in any of the bathrooms during the inspection.