Facility Evaluation Report

Licensing Program Analyst (LPA) Trevor Byrne arrived at the facility unannounced to conduct a required annual visit at 09:17 AM. LPA met with facility staff who contacted the facility administrator Naira Badalyan via telephone call. Facility administrator arrived to the facility at 09:32 AM Entrance interview conducted and the reason for the visit was explained.

Beginning at 09:32 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:

KITCHEN : The LPA observed the kitchen area to be clean. Kitchen appliances were in operable condition. The facility has a sufficient supply of seven (7) days non-perishable and two (2) days perishable food. LPA observed a secured lock box to contain knives and other sharp objects. The LPA observed the fire extinguisher to be fully charged and purchased on 07/29/2024.

BEDROOMS : There are three (3) bedrooms in the facility; all are designated for resident use, and all are designated as dual occupancy rooms. LPA and facility administrator toured all three (3) resident rooms. All resident rooms were observed to be furnished appropriately with clean linens, appropriate furnishings and sufficient lighting. Bedroom number three (3) is approved for a bedridden resident. Auditory alarms were observed to be functional on bedroom three’s (3’s) exit door.

BATHROOMS : There are two (2) bathrooms at the facility. One (1) is designated as a resident restroom and one (1) is primarily used as a staff restroom. Both bathrooms were observed to be clean and in good repair and all were equipped with nonskid surfaces. Grab bars were observed in all showers, and all were properly secured. The water temperature was measured between 117.5 and 120 degrees Fahrenheit, which is in compliance with regulation. Report Continued on LIC 809-C