Facility Evaluation Report

Licensing Program Analyst (LPA) Leslie Ngo-Castaneda conducted an annual required visit and inspection of the facility. LPA was greeted by licensee Marianna Ghazaryan, and was explained the reason for the visit.

At 9:30 AM, with the assistance of licensee, LPA took a tour of the physical plant. Required postings were observed in the entry area. At 10:30 AM the smoke alarms were tested and are operational, they are located each bedroom, the hallway and kitchen. There are carbon monoxide detectors that functions properly. The fire extinguisher is in the kitchen and the office. The charge date of 3.5.2025. During the visit the facility is at 70 degrees Fahrenheit. The facility is fire cleared for six (06) non-ambulatory resident, one (1) bedridden bedroom #3, and is cleared for five (5) hospice waiver.

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. Food storage and preparation areas are clean and inaccessible to pests. Garbage cans have tight fitting covers. Cleaning supplies, pesticides or toxic cleaning supplies were stored and locked away under the sink.

Bedrooms: There were three (3) bedrooms designated for residents. Room #1 is shared but is currently only occupied by one (1) resident. Bedroom #2 is private. Bedroom #3 is shared. Bedrooms that are used by residents were properly furnished with appropriate dresser, beddings, and linens with sufficient lighting.