Facility Evaluation Report

Licensing Program Analyst (LPA) Trevor Byrne arrived at the facility unannounced to conduct a required annual visit at 09:01 AM. LPA met with facility Administrator Zhanna Davtian. Entrance interview conducted and the reason for the visit was explained.

Beginning at 09:03 AM the LPA, along with facility administrator toured the physical plant areas inside and outside to ensure there are no health and safety hazards and that facility is in compliance with Title 22 Regulations. The following was observed:

GARAGE: LPA observed the garage to be inaccessible to clients in care. The garage was observed to contain two (2) secured cabinets, two (2) secured filing cabinets, the facility’s washer and dryer, extra care supplies, and adequate emergency food and water supplies. The two (2) secured cabinets were observed to contain extra cleaning supplies and laundry supplies. The two (2) secured filing cabinets were observed to contain facility files and resident medications.

COMMON AREAS : This includes the living room, entryway, and dining room. LPA observed the dining room to be clean and properly furnished at the time of the visit. The dining room contains a dining table with adequate seating for resident use. LPA observed a fire extinguisher mounted in the entryway to be fully charged and purchased on 03/05/2024. LPA observed the entryway to contain all required postings. The living room was observed to be clean and in good repair. The living room contained adequate seating and activities for resident use. The facility’s combination fire and carbon monoxide alarms were tested at 10:11 AM and were functional at the time of the visit.