Facility Evaluation Report

Licensing Program Analyst(LPA) Christine Yee conducted a pre-scheduled Prelicensing and Component III visit and met with Nelli Sadoyan, Applicant and Hrant Narinyan, Designated House Manager.

The facility is a single storey family home consisting of a living room, dining room, kitchen, 3 resident bedrooms, an office, 2.5 bathrooms and a detached garage. The facility fire clearance is currently in the process of being corrected.

The following were observed on today's visit:

The living room is furnished with 2 sofa, an arm chair, a television and a coffee table

The dining room is furnished with a table 5 chairs and the 6th chair was observed in the office.

The kitchen is equipped with a dishwasher, oven, stove and microwave. Non-perishable food for a minimum of 7days were reviewed and needs to be supplemented. Perishable foods will be purchased prior to accepting the first resident.

Bedroom #1 is furnished with 1 bed, 1 chair, 1 night stand, 1 lamp, a dresser and a built in closet. Curtains need to be thicker to allow for privacy

Bedroom #2 is furnished with 2 beds, 2 chairs, 2 night stands, 2 dressers and only 1 portable closet. The room has a French door that opens out to a ramp. Auditory device on the door was operational. The window curtain was observed to be thin gauze and needs to be thicker to afford privacy. Located inside the bedroom is a full bathroom with a toilet, a sink, a shower, grab bars, a shower chair and a non-skid mat. Water temperature was tested and read 117.5 degrees Fahrenheit. Bedroom #2 is designated for a bedridden resident.

Bedroom #3 is furnished with 2 beds, 2 chairs, 2 night stands, 2 dressers, a closet and a cupboard. Curtains need to replaced with thicker ones to afford privacy to the residents.