Facility Evaluation Report

Licensing Program Analysts (LPAs) Nadia Shahbazian and Michael Cava conducted a Pre-Licensing Inspection with the applicant Administrator, Mari Khachatryan and Designee Administrator, Ruzanna Manukyan at 10:00am. A change of ownership application to operate a Residential Care Facility for the Elderly (RCFE) was received by Community Care Licensing (CCL) on June 14, 2024. The facility is a one-story building. A fire clearance was approved on December 17, 2024 for five (5) non-ambulatory residents and one (1) bedridden resident, for a total capacity of six (6). Per STD 850, bedroom number one is appropriated for bedridden. The smoke alarms and carbon monoxide detector are dual and inter-connected. There are two fire extinguisher that were purchased on April 11, 2024, located by the dining room and the other near bedrooms 4 and 5.

At approximately 10:30 am, with the assistance of the administrator, LPAs took a tour of the physical plant and the following was observed:

KITCHEN: The kitchen is equipped with two refrigerators, stove/oven, microwave with a breakfast nook. There were adequate supplies of dining ware to accommodate a maximum capacity of six (6) residents. Knives were observed to be locked in a kitchen drawer. Currently 6 residents reside in the home and adequate supply of perishable and non-perishable food supplies were available. Cleaning supplies were locked underneath the sink.