Facility Evaluation Report

Licensing Program Analyst (LPA) Michael Cava conducted an Annual Required visit and inspection of the facility. LPA met with staff, Haukuhi, and explained the reason for the visit. The administrator, Nelli Berberyan, was notified over the telephone.

At approximately 11:30am, LPA took a tour of the physical plant. The facility is a one story building. Required postings were observed in the dining room and entry area. The smoke alarms and carbon monoxide detector are dual, hard wired and inter-connected. The facility has one new fire extinguisher, located at the front entry.

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 cabinet

Bedrooms: There are five (5) bedrooms designated for residents to use. Bedroom #5 is a shared room, bedrooms #1 - #4 are private rooms. All resident bedrooms are furnished with bed, chair, night stand, dresser and required bedding and linen. The bedrooms have sufficient closet space and have sufficient lighting.

Bathrooms: The facility has two (2) bathrooms with grab bar and non-skid mats for residents and staff to use. Water temperature was within regulation ranging between 110°F – 112°F. All bathrooms were properly supplied and had functional fixtures. No cleaning supplies were observed in any of the bathrooms during the day of the inspection.