Facility Evaluation Report

Licensing Program Analyst (LPA) Trevor Byrne arrived at the facility unannounced to conduct the required annual visit at 10:01 AM. LPA met with facility staff who contacted the Administrator Luiza Hekimyan. The Administrator and the facility backup Administrator Tina Arutyunyan arrived to the facility at approximately 11:05 AM. Entrance interview conducted and the reason for the visit was explained.

Beginning at approximately 10:30 AM, the LPA, along with facility staff toured the physical plant areas inside and outside to ensure there are no health and safety hazards and that facility is in compliance with Title 22 Regulations. The following was observed:

COMMON AREAS : This included the dining area, living room, hallway, and office. LPA observed the dining area to be clean and properly furnished at the time of the visit. The dining area contained a dining table with adequate seating for resident use and the facility’s adequate emergency water supply. The living room was observed to be clean and contained adequate seating for resident use. Additionally, the living room contained an adequately screened fireplace and activities for resident use. LPA observed the hallway to contain closets which contained non-perishable foods, care supplies, and extra linens. The office was observed to contain facility, resident, and staff files. The facility’s fire and carbon monoxide alarms were tested between 11:22 AM and 11:24 AM and functioned properly at the time of the test. All exits in the facility were observed to contain auditory alarms.

BATHROOMS : There are three (3) bathrooms at the facility. Two (2) bathrooms are designated as shared resident bathrooms and one (1) bathroom is designated as a staff bathroom. Both resident bathrooms were observed to be clean and in good repair and were equipped with nonskid surfaces. Grab bars were observed in all resident showers and near all resident toilets, all were properly secured. The water temperature was measured to be between 111.7 and 105.8 degrees Fahrenheit, which is within the range required by regulation. LPA observed all bathrooms to contain unsecured personal grooming supplies. CONT.