Facility Evaluation Report

Licensing Program Analyst (LPA) Leslie Ngo-Castaneda conducted an annual required visit and inspection of the facility. LPA met with licensee, Grigor Kosoyan , and explained the reason for the visit.

At 10:30 AM, with the assistance of licensee, LPA took a tour of the physical plant. Required postings were observed in the entry area. At 9:32 AM smoke alarms were tested and are operational. There are carbon monoxide detectors that functions properly. The fire extinguisher is in between the kitchen and the facility entrance. The charge date is 3/22/2025. During the visit the facility is at 74 degrees Fahrenheit. The facility is fire cleared for six (06) non-ambulatory of which one (01) may be bedridden only one at a time; hospice waiver for five (5).

Kitchen: The kitchen appliances and fixtures were functional. The kitchen has a working gas stove, faucet, freezer, refrigerator, and microwave. LPA found enough at least two (2) days perishable and seven (7) days non-perishable food at the facility that is properly stored. Frozen foods are wrap, dated, and stored properly as well. Knives were stored in a locked drawer in the kitchen.

Bedrooms: There were four (4) bedrooms designated for residents' use. Bedroom #1 and bedroom #3 are for private use and is currently vacant. Bedroom #4 is shared and vacant. Bedroom #2 is shared and is currently being only occupied by one resident. Resident bedrooms were properly furnished with appropriate dresser, beddings, and linens with sufficient lighting.