Facility Evaluation Report

Licensing Program Analysts (LPA) Nadia Shahbazian conducted an announced Pre-Licensing

Inspection with Marine Karapetian - Administrator/Licensee at 1:00 pm. An application to operate a Residential Care Facility for the Elderly (RCFE) was received by Community Care Licensing (CCL) on 10/01/2024. Facility's fire clearance is approved for five (5) Non-ambulatory residents and one (1) bedridden resident, for a total capacity of six. Bedroom #1 is appropriated for bedridden resident. The smoke alarms and carbon monoxide detectors are dual and inter-connected. In addition, facility is equipped with two (2) fire doors, near the front entry and bedrooms. The facility has a fire extinguisher purchased on 03/05/2025. Fire extinguisher is located near the dining room exit door.

With the assistance of the administrator, a tour of the physical plant was initiated at 1:30pm and the following was observed:

KITCHEN: The facility has a Kitchen area that is equipped with a refrigerator, stove, oven, microwave oven and dishwasher. There was an adequate supply of non-perishable food items observed. Perishable food items are not required at this time as there are no residents. Administrator was advised facility needs to carry perishable food items once they admit residents for care. Knives were observed locked in a kitchen drawer.

LAUNDRY AREA: The laundry area is located on the side of the kitchen, with a exit door leading to the backyard. Cleaning supplies, detergents and chemicals were observed to be kept in cabinets in laundry area.

BEDROOMS: There are four (4) bedrooms, three bedrooms will be used for residents and one bedroom for staff. Bedroom #4 is currently utilized as the staff bedroom/office. Bedroom #1 is designated for the bedridden resident and has an exit door. Each bedroom was furnished with beds, chairs, dresser drawer and closets, bedding and linen. The bedrooms have sufficient lighting and closet space. There is a two-sided non-functional fireplace in bedroom #4. The fireplace is properly screened on both sides, the other side of the fireplace is located in the living room.