Facility Evaluation Report

Licensing Program Analyst (LPA) Trevor Byrne arrived at the facility unannounced to conduct the required annual visit at 09:45 AM. LPA met with facility staff and contacted the facility Administrator Tigran Gevorgyan. The Administrator arrived to the facility at approximately 10:45 AM and was joined by Naira Spry (I1). Entrance interview was conducted and the reason for the visit was explained.

Beginning at 09:48 AM the LPA, along with facility staff #1 (S1) 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:

KITCHEN : The LPA observed the kitchen area to be clean. Kitchen appliances appeared to be in operable condition. The facility had a sufficient supply of two (2) days perishable and seven (7) days non-perishable food. LPA observed a secured drawer which contained knives and other sharp objects. LPA observed an unsecured pair of scissors in a kitchen drawer. LPA notified S1, who secured the items. LPA observed a locked under-sink storage which contained cleaning chemicals. LPA observed a locked medication cabinet. LPA observed a box of unsecured supplements. LPA informed S1 who stated that the supplements belonged to the facility staff members. S1 secured the supplements at the time of the visit. LPA did not observe a fire extinguisher in the kitchen area. LPA asked S1 where the facility’s fire extinguisher was located. S1 informed LPA that the facility was in the process of moving to a new location and the fire extinguisher was recently removed and transferred to the new location. LPA informed S1 and later the Administrator that the facility is required to maintain a fully charged and serviced fire extinguisher on the facility grounds at all times as a requirement of the facility’s fire clearance. CONTINUED ON LIC 809C.