Facility Evaluation Report

Licensing Program Analyst (LPA) Christine Yee conducted an announced Prelicensing Visit to ensure the home meets Title 22 requirements. LPA Yee met with Parandzem Konstanyan and Yuliya Asatryan, Applicants.

The home is a single family home consisting of a living room, dining room, kitchen, family room, office/storage room, 5 bedrooms and 2 full bathrooms. The home is fire cleared for 5 non-ambulatory and 1 bedridden clients.

Per tour of the home the following was observed:

the facility has a land line phone that rings directly into the home. The telephone number is (818)691-3409.

the living room and dining room contained the appropriate furniture

the kitchen has a refrigerator, dish washer and stove that were operational. Plates, cups, glasses, pots, pans and utensils were observed.

the washer and dryer located in the kitchen were operational.

the non-perishable food in the pantry was reviewed and needs to be supplemented with breakfast foods such as cereal, oatmeal, pancake mix, additional pasta sauces, canned vegetables and proteins. There were no perishable foods observed. Applicant will also purchase a 2 day supply of perishable foods prior to the