Facility Evaluation Report

Licensing Program Analyst (LPA) Trevor Byrne arrived at the facility unannounced to conduct the required annual visit at 09:59 AM. LPA met with facility Administrator Zhanna Davtian. Entrance interview conducted and the reason for the visit was explained.

Beginning at 10:01 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 contain two (2) secured cabinets which contained extra cleaning supplies and laundry supplies. LPA observed two (2) secured filing cabinets which contained facility files and resident medications. Additionally, LPA observed the garage to contain the facility’s washer and dryer, extra care supplies, extra linens, and adequate emergency food and water supplies.

COMMON AREAS : This includes the living room, entryway, hallway, and dining area. LPA observed the living room to contain adequate seating, a television, and activities for resident use. LPA observed the entryway to contain all required postings and an infection control point with a thermometer. LPA observed a fire extinguisher mounted in the entryway to be fully charged and purchased on 02/24/2025. LPA observed the hallway to be clean and free from any obstructions. The dining area was observed to be clean and properly furnished at the time of the visit. The dining area contained a dining table with adequate seating for resident use. The facility’s combination fire and carbon monoxide alarms were tested at 10:22 AM and were functional at the time of the visit.