Facility Evaluation Report

Licensing Program Analysts (LPA) Erica Mosley arrived at the facility unannounced to conduct a required annual visit and arrived at the facility at 10:00 a.m. Upon arrival, LPA Mosley rang the doorbell and spoke to the Administrator over the doorbell and informed them of the visit. The Administrator arrived shortly thereafter. The LPA met with KACHIK RUMELYAN– Administrator and explained the reason for the visit. The LPA entered the facility at 10:20 a.m. The facility currently has no residents. The LPA toured the physical plant areas inside and outside to ensure there are no health and safety hazards and facility is in compliance with Title 22 Regulations.

The home is a single-story family home consisting of a living room, dining room, kitchen, 4 bedrooms, 3 full bathrooms and an attached garage. The facility is fire cleared for 5 non-ambulatory residents and 1 bedridden resident. Bedroom #1 is fire cleared for a bedridden resident.

KITCHEN: The LPA inspected the kitchen/food service area at 10:22 a.m. Knives and sharps were observed in a locked drawer. Kitchen appliances were in operable condition. The facility has a sufficient supply of seven (7) day non-perishable food. Food pantries were checked for proper labels and expiration dates. The kitchen faucet was measured for hot water temperature, and it measured 108.5 degrees Fahrenheit at 10:31 a.m. LPA observed an adequate amount of emergency food and water located in the kitchen cabinet storage.

COMMON AREAS: At the time of the visit, furniture in the common areas was observed to be in good condition. The facility maintained a comfortable temperature. At 11:24 a.m., hardwire combination of smoke / carbon monoxide detector and fire doors were tested and operational at the time of the visit. The fire extinguisher was observed and fully charged on 12/15/2024. The LPA observed required postings throughout the common space. Activities were observed in the common areas. The LPA observed the fireplace to be adequately screened.

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