Facility Evaluation Report

On 01/18/2023, Licensing Program Analyst (LPA), Sandra Urena, conducted a subsequent pre-licensing visit at 1:00 p.m. The LPA met with the applicant Hrachia Martirosian, and explained the reason for the visit.

On 01/10/2023, the pre-licensing visit was conducted by Licensing Program Analyst (LPA), Sandra Urena. The LPA arrived at the facility at 10:50 a.m., and met with applicant Hrachia Martirosian. This is a new facility application for a total of six residents, six (6) non-ambulatory, and one bedridden. Fire Clearance was approved on 09/16/2022 for one bedridden resident, and resident is allowed to reside in either bedroom #1 or # 2.

The following deficiencies were corrected:

· Bedrooms’ doors # 1, and 2 was leveled to ensure safe passage for residents to the outdoor area.

· Hallway exit door needs was leveled to ensure safe passage to the outdoors.

· The three-shelf apparatus with sound equipment that partially obstructs the passageway for exit was cleared.

A drainage pipe sticking out at the bottom of the wall facing the bathroom, was covered.

· Bedrooms # 3, 4, and 5 were observed with a bed, mattress, pillows and bedding/linens. Bedroom #1 was found to have two beds with linens.

· Toilets were equipped with adjustable handlebars/Safety toilet rails.

· Door leading to bedrooms # 3, 4, and 5 were equipped with a magnet device to keep it open. Door leading to bedroom #2 was equipped with a magnet to keep it open.