Facility Evaluation Report

LIcensing Program Analyst (LPA) Christine Yee conducted an unannounced required Annual Inspection using the complete CARE Inspection Tool and met with Mariam Panadzhyan, Licensee. The reason for today's visit was explained.

The facility is a single storey family home consisting of a living room, dining room, kitchen, 5 bedrooms and 3-1/2 bathrooms. Per information provided on today's visit, the Licensee extended the back wall of the home by adding a full bathroom to the staff room and a 1-1/2 bathroom for visitor use about 3 years ago. The Department was not notified of the addition. Per Licensee, no permits were obtained for the extension. The previously attached garage located in front of the facility, was converted to an alternate dwelling unit prior to licensure of the facility and has its own address and access. Also located in the back is a separate building used for food storage and the laundry room. The facility is fire cleared for 5 NON-AMBULATORY and 1 BEDRIDDEN resident. Bedroom #4 is designated for bedridden use.

The following was observed on today's visit:

The dining room, living room and kitchen all have the appropriate furniture and equipment.

Sufficient perishable and non-perishable foods were observed in the kitchen and in the back storage building.

Located in the kitchen is the first fire extinguisher purchased on 7/29/23

Bedroom #1 is a shared room and has 2 beds, 1 chair, 1 night stand, 2 lamps, 2 dressers. The exit door is not equipped with a auditory device. Located in the bedroom is the second fire extinguisher

Bedroom #2 has 2 beds, 1 lamp, 1 chair, 1 night stand and no dresser.

Bedroom #3 is a shared room and has 2 beds, 3 night stands, 2 chairs, 2 lamps, 2 built in closets and