Facility Evaluation Report

Licensing Program Analyst (LPA) Christine Yee conducted an unannounced required Annual Inspection and used the CARE Inspection Tool to conduct on today's visit. LPA Yee was let into the home by Ramila Sultanova, Staff. Erna Gevorgyan, Administrator was contacted by staff and she arrived at 11:05 am to conduct the visit. Also present during the visit was David Abramyan, Staff. The reason for today's visit was provided.

The facility is a single storey family home consisting of a living room, dining room, kitchen, 3 bedrooms, 2 full bathrooms and a car port. The facility is fire cleared for 5 non-ambulatory and 1 bedridden resident. Bedroom #1(back) is designated for bedridden use for the one resident. Located in the back of the facility is an ADU with it's own address of 6521 Bellaire Avenue that is rented out.

On today's visit, all 12 domains of the CARE Inspection Tool was reviewed, 4 Resident files and 5 staff files were reviewed and a tour of the physical plant was conducted.

The following were observed on today's visit:

the living room and dining room are furnished with the appropriate furniture and sitting for 6 residents

the kitchen is equipped with a refrigerator, dishwasher, toaster oven, microwave and coffee maker.

sufficient plates, cups and bowls were observed.

knives were observed in a locked kitchen drawer.

cleaning solutions, dish detergent and laundry detergent are locked in a cabinet under the kitchen sink