Facility Evaluation Report

Licensing Program Analyst (LPA) Sandra Urena conducted a pre-licensing visit to the above noted facility. The LPA met with applicant, Erna Vanoyan. This is an application for a new facility. The facility applied for five (5) non-ambulatory residents, and one (1) bedridden resident.

At 10:15 a.m., the LPA and the applicant conducted a physical plant tour inside and out to ensure there are no health and safety hazards and facility is in compliance with Title 22 Regulations. The facility is a one-story dwelling. An approved fire clearance was received on 08/08/2023, clearing them for five (5) non-ambulatory residents; one (1) bedridden resident in bedroom #1.

KITCHEN: Kitchen knives are stored in a locked kitchen drawer. The supply of dishes, utensils, pots, pans, and drinkware is adequate. The temperatures for the refrigerator and freezer were observed to be withing the approved temperatures. The supply of nonperishable food is adequate. There are no pesticides (poisons) or toxins stored in any food storage area or preparation area with utensils. Appliances in the kitchen were clean and all appeared functional. Trash cans had tight fitting lids. Kitchen, and house cleaning supplies are stored and locked under the sink cabinet area. No flies or other vermin were observed. Water temperature was recorded at 112.3 degrees Fahrenheit.

BEDROOMS: The facility has two (2) private residents’ bedrooms: rooms 1 and room 3; and two (2) shared room(s), room 2 and room 4. One residents’ bedroom, room # 2 has a direct exit to the patio. Bedroom # 1 has been approved and cleared for one bedridden resident. All bedrooms were set up with night stands, lamps, and closet space.