Facility Evaluation Report

Licensing Program Analyst (LPA) Trevor Byrne arrived at the facility unannounced to conduct the required annual visit at 09:28 AM. LPA met with facility staff who contacted the facility Administrator Dianna Karapetyan. The Administrator arrived to the facility at 09:43 AM. Entrance interview conducted and the reason for the visit was explained.

Beginning at 09:45 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:

OUTDOOR SPACE: The facility had one (1) emergency exit gate located in the front yard; LPA observed clear passageways for emergency exit use. The facility had adequate shaded seating outdoors for resident use. LPA observed a locked storage shed which contained tools and extra care supplies. The backyard was observed to contain an appropriately fenced pool that was empty of all water at the time of the visit. One (1) extra refrigerator was observed in the backyard of the facility. At 09:49 AM LPA observed an unsecured hand saw in the back yard near the storage shed. LPA informed the Administrator who immediately secured the item in locked storage.

BEDROOMS : There are five (5) bedrooms in the facility; one (1) is a dual occupancy room and four (4) are single occupancy rooms. LPA and facility Administrator toured all five (5) resident rooms. All resident rooms were observed to be furnished appropriately with clean linens, appropriate furnishings, and sufficient lighting. Auditory alarms were observed on facility exits and all were functional at the time of the visit. Bedrooms #1 & 2 contain direct exits to the outdoors of the facility. Continued on LIC 809C.