Senior Care Records.

Facility Evaluation Report

Matevosian Home, North Hollywood11/19/2024Licence 195850290

Capacity4
Census4
Date signed11/19/2024 02:38:39 PM
The inspector’s account

Licensing Program Analyst (LPA) Trevor Byrne arrived at the facility unannounced to conduct a required annual visit at 09:43 AM. LPA contacted facility Administrator Rafael Matevosian via telephone call. Facility staff member Lusine Asatryan (S1) arrived to the facility at 09:54 AM. Entrance interview conducted and the reason for the visit was explained.

Beginning at 09:55 AM, the LPA, along with 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:

OUTDOOR SPACE: The facility has one (1) emergency exit gate, LPA observed clear passageways for emergency exit use. The facility has adequate shaded outdoor seating for resident use. LPA observed three (3) appropriately secured sheds to contain tools, chemicals, paints, and other household supplies.

KITCHEN : The LPA observed the kitchen area to be clean. Kitchen appliances were in operable condition. The facility has a sufficient supply of two (2) days perishable and seven (7) days non-perishable food. LPA observed a secured drawer to contain knives and other sharp objects. The LPA observed a fire extinguisher to be fully charged and purchased on 03/09/2024.

BATHROOMS : There are three (3) bathrooms at the facility. Two (2) are designated as common resident bathrooms and one (1) is designated as a staff bathroom. All bathrooms were observed to be clean and in good repair and were equipped with nonskid surfaces. The water temperature was measured in all bathrooms between 106.2 degrees Fahrenheit and 110.7 degrees Fahrenheit which is in compliance with regulation.

Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction