Facility Evaluation Report

Licensing Program Analyst (LPA), Sandra Urena arrived at the facility unannounced to conduct an annual inspection. The LPA was greeted by staff and called the Administrator Lusine Tadevosyan. The LPA communicated with the administrator and stated that they were not available, and the staff designated by the facility would arrive shortly. The staff Anahit Ohanyan arrived shortly thereafter, and the LPA and explained the reason for the visit.

The LPA, and the staff toured the physical plant areas inside and outside to ensure there are no health and safety hazards, and that the facility is in compliance with Title 22 Regulations.

KITCHEN: A seven-day supply of non-perishable food was available. The supply of dishes is adequate.

Appliances in the kitchen were clean and all appeared functional. House cleaning supplies will be stored and locked in the cabinet under the sink. Trash cans have a tight-fitting lid. There were no pesticides or toxins stored near food, or preparation area.

COMMON AREAS: The common areas were appropriately furnished, and the lighting was adequate. There

is a television in the living room area. The facility’s smoke/carbon monoxide alarm systems are hard wired. All rooms were tested, and all smoke/carbon monoxide alarm systems were in operating condition. A fire extinguisher is properly charged, and is located near the main door entrance, and mounted on the wall in the kitchen area. The fire extinguisher was last purchased on 01/10/204. The laundry area room is located outside. The supply of linens is sufficient to permit changing weekly or more often as needed to ensure use of linens at all times. Required posters are posted in the dining room area.

BEDROOMS: Facility has five (5) bedrooms for resident use. There is no bedroom available for staff use. Bedrooms 2, 3, 4 and 5 are for single occupancy. Bedroom #1 is designated as a shared bedroom. Either bedroom #1, or #2 are approved for one (1) bedridden resident. Lighting in the rooms appeared adequate. All bedrooms had adequate closet and drawer space for clothing, and personal belongings.