Facility Evaluation Report

Licensing Program Analyst (LPA) Trevor Byrne arrived at the facility unannounced to conduct a required annual visit at 12:47 PM. LPA contacted the facility administrator Ruzanna Sukiassyan. The Administrator informed the LPA that the facility does not currently have any clients and no staff were located on site. The Administrator agreed to meet with LPA and arrived to the facility at 01:50 PM. Entrance interview conducted and the reason for the visit was explained.

Beginning at 01:50 PM, 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 appeared to be in operable condition. LPA observed a secured drawer to contain knives and other sharp objects. LPA observed a secured cabinets designated to contain resident medications and a first aid kit. LPA observed a camera covering the kitchen area. LPA confirmed with the facility administrator that audio is not recorded. LPA observed a fire extinguisher mounted in the kitchen to be fully charged and last serviced on 11/20/2023.

COMMON AREAS : This includes the living room, hallway, and dining room. LPA observed the dining room to be clean and properly furnished at the time of the visit. The dining room contains a dining table with adequate seating for resident use. The living room was observed to be clean and in good repair. The living room contained adequate seating and activities for resident use. LPA observed an appropriately screened fireplace located in both the living room and dining room. The facility’s combination fire and carbon monoxide alarms, as well as the facility fire doors, were tested at 02:28 PM. LPA observed three (3) fire doors to fail to close at the time of the test. The doors were attached to bedroom #1, bedroom #2, and bedroom #3. LPA observed cameras located throughout the common areas of the facility. LPA observed all required postings located at the front entrance to the facility.