Facility Evaluation Report

Licensing Program Analyst (LPA) Christine Yee conducted an unannounced required Annual Inspection visit and utilized the complete CARE Inspection Tool. LPA Yee was given entry into the home by Anahit Anatomyan, Staff. Staff contacted Arpine Mkrtchyan, Administrator, via telephone and she arrived at 10:03am to conduct the visit. LPA Yee explained the reason for today's visit.

The facility is a single storey family home consisting of a living room, dining room, a kitchen, 3 resident bedrooms, 2.5 bathrooms, a den, a laundry room and a attached garage. The facility is fire cleared for 6 non-ambulatory residents.

The following was observed on today's visit:

The dining room and living room have the appropriate furniture for 6 residents and was clean

The fire place was observed without a metal fire screen

The kitchen has the standard equipment - stove, refrigerator, toaster oven, coffee maker and dishwasher and was observed to be operational and clean. Knives are stored in a locked drawer.

sufficient perishable and non-perishable foods were observed in the kitchen and in the garage

Bedroom #1 and Bedroom #2 contained 2 hospital beds, 2 chairs, 2 lamps, no dressers, a shared closet and blinds for privacy. No window bars were observed.

Bedroom #3 is a private bedroom and was furnished with the resident's personal furniture

Appropriate bed linens were observed on residents' beds. Extra bed linens were observed in the linen closet.

Bedroom #1 has a private bathroom and was observed with a shower, a shower chair, grab bars and non-skid mat.

The two common bathrooms were toured. The common bathroom located by bedroom #1 has a toilet and sink. Water temperature was tested and read 117.8 degrees Fahrenheit.