Facility Evaluation Report

Licensing Program Analyst (LPA) Michael Cava conducted a Pre-Licensing Inspection with both administrators Hayk Margaryan and Hovhannes Papazyan. Application to operate a Residential Care Facility for the Elderly (RCFE) was received by Community Care Licensing (CCL) on May 30, 2024. The facility is a one story building. A fire clearance was approved on June 27, 2024 for six (6) non-ambulatory residents. No bedridden. The applicant is also requesting a hospice waiver to retain six (6) residents. The smoke alarms and carbon monoxide detector are dual, hard wired and inter-connected. The facility has one new fire extinguishers that was purchased on August 12, 2024.

With the assistance of both administrators, a tour of the physical plant was initiated and the following was observed:

KITCHEN: The facility has a Kitchen area is equipped with a refrigerator, stove/oven and sink. There were adequate supplies of perishable and nonperishable food and dining ware to accommodate a maximum capacity of six (6). Knives were observed locked in a kitchen drawer.

BEDROOMS: There are three (3) bedrooms designated for client use. All bedrooms are shared. Bedroom #2 was used as a model room during inspection. Bedroom #2 was furnished with a bed, night stand, chair with sufficient lighting and closet space. Applicant was advised to fully furnish the other two rooms once residents are admitted.

BATHROOMS: The facility has two (2) bathrooms. Bedroom #21 has it's own bathroom with shower and tub. The other bathroom is located in the hallway. Both bathrooms were observed to have the proper fixtures, grab bars, and non-skid mats. The hot water delivered in the bathrooms was measured at 120 degrees.