Facility Evaluation Report

On 10/7/2022, Licensing Program Analyst (LPA) Melissa Ruiz conducted an announced Pre-Licensing visit to the facility mentioned above and met with the Administrator Armen Melikyan. An initial application to operate Social Rehabilitation Facility was received. A fire Clearance dated 7/27/2022 was received for six (6) ambulatory residents.

Today's site visit consisted of LPA touring the physical plant inside and outside and observed the following: The facility is a two-story building. The facility has a total of three (3) bedrooms, all designated for residents. Resident bedrooms were observed to be appropriately furnished. There are four (4) bathrooms, two of which are designated for residents and the other two (2) for staff. The common areas were appropriately furnished, and lighting was adequate. The living room has a television and comfortable furniture. Resident and staff records will be stored in a locked area in a cabinet in the staff room. Medications will also be stored and locked in cabinet in the medical room. The fire extinguishers were observed throughout the facility and have a date of purchase of 7/27/2022. There are dual smoke and carbon monoxide detectors throughout the facility. There is a functioning telephone on the premises. An emergency exit plan/sketch is posted throughout the facility along with other posting requirements. The first aid kit is readily available. Facility appears to be clean, in good repair and kept at a comfortable temperature of 75°F. Appliances in the kitchen appeared to be functional. Facility maintains a startup amount of one week’s worth of nonperishable food to accommodate a maximum capacity of six (6) residents. There is a shaded sitting area in the fenced backyard. There is a designated laundry room that leads to the attached garage. The laundry room stores linens and cleaning supplies.