Facility Evaluation Report

Licensing Program Analyst (LPA) Michael Cava conducted an Annual Required visit and inspection of the facility. LPA met with staff, Sirun Harutyunyan and explained the reason for the visit. The administrator, Andranik Ter-nersesian was called and advised of the visit.

At 9:15am, with the assistance of staff, LPA took a tour of the physical plant. Required postings were observed in the entry area. The smoke alarms are hardwired and interconnected. There is a carbon monoxide detector installed at the facility and equipped with fire sprinkler system. All doors are equipped with auditory alarm. The fire extinguisher is located at the staff workstation, located by the kitchen and front entrance. LPA observed two complete first aid kits during the inspection.

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 were stored in a locked drawer in the kitchen. Properly labeled medications were locked in one of the kitchen cabinets.

Bedrooms: There were four (4) bedrooms designated for residents' use. Two bedrooms are shared rooms and two bedrooms are private. All four bedrooms were properly furnished with appropriate beddings and linens with sufficient lighting.

Bathrooms: There are two (2) bathrooms. One (1) bathroom is designated for staff. Bathroom designated for resident use is properly supplied and had functional fixtures. Hot water temperature was measured at 105 degrees Fahrenheit. No cleaning supplies observed accessible in the bathroom during the day's inspection.

Common Areas : These included the living room and dining area. The common areas were properly furnished. The floors was clean. Entrance/exits were clear of obstruction.