Facility Evaluation Report

Licensing Program Analyst (LPA) Michael Cava conducted a Pre-Licensing Inspection with both applicant representatives Dianna & Tina Chakhmakhcyan. Both also carry an Administrator Certificate. An Application to operate a Residential Care Facility for the Elderly (RCFE) was received by Community Care Licensing (CCL) on May 13, 2024. The facility is a one story building. A fire clearance was approved on June 26, 2024 for five (5) non-ambulatory residents and one (1) bedridden resident, for a total capacity of six (6). The smoke alarms and carbon monoxide detector are dual and inter-connected. The facility has a brand new fire extinguisher that is located by the front entrance. It was purchased May 7, 2024.

Prior to the physical plant inspection, a Component III was conducted with both application representatives. A tour of the physical plant was initiated at approximately 9:45am and the following was observed:

KITCHEN: The kitchen area is equipped with a refrigerator, brand new stove and sink. Perishable food not required at this time as currently there are no residents, but there were adequate supplies of nonperishable food and dining ware to accommodate a maximum capacity of six (6). Knives were observed locked in a cabinet underneath a counter top table, located in the middle of the kitchen. Cleaning supplies will also be kept In a separate cabinet, located underneath that same counter top table.

BEDROOMS: There are four (4) bedrooms designated for client use. Bedroom #1 and #2 are private. Bedroom #3 and #4 are shared. Per STD 850, Bedroom #1 has a bedridden fire clearance. The applicant furnished the resident bedrooms with beds, night stand, chairs, dresser, bedding and linen. The bedrooms have sufficient lighting and closet space.

BATHROOMS: The facility has two and one half (2 1/2) bathrooms. Bedroom #2 has it's own bathroom with shower. The other full bathroom and half bathroom are located in the hallway.