Facility Evaluation Report

Licensing Program Analyst (LPA) Sandra Urena arrived at the facility unannounced to conduct a required annual visit at 10:10 a.m. The LPA was greeted by staff and informed them of the reason for the visit. Administrator Zaruhi Harutyunyan. arrived shortly thereafter.

At 10:45 a.m., the LPA, and the applicant toured the physical plant areas inside and outside to ensure there

are no health and safety hazards, and that the facility is in compliance with Title 22 Regulations.

KITCHEN: The supply of dishes is adequate. Appliances in the kitchen were clean and all appeared functional. Kitchen, and house cleaning supplies will be stored in locked cabinet under the kitchen sink. Hot water temperature was recorded at 108.8 degrees Fahrenheit. Trash cans have a tight-fitting lid. There were no pesticides or toxins stored near food, or preparation area.

BEDROOMS: There are three bedrooms for residents' use, each room has double occupancy. Bedroom #1 is licensed for one bedridden resident, and one non-ambulatory resident. Bedrooms #2 and #3 are for double occupancy. Lighting in the rooms appeared adequate. All bedrooms had adequate closet, and drawer space for clothing, and personal belongings. The facility was licensed for five non-ambulatory residents, and one bedridden resident.

BATHROOMS: Two bathrooms (1 &2) are fully stocked with paper towels, and liquid hand soap. The shower has non-skid surface. Hot water temperature was recorded at degrees 111.6 Fahrenheit. Hand washing signs were visible and posted. Bathroom #1 is designated for staff use. Bathroom #2 is designated for residents and is fully equipped with handlebars, and nonskid surfaces.