Facility Evaluation Report

Licensing Program Analyst (LPA) Trevor Byrne arrived at the facility unannounced to conduct a required annual visit at 09:27 AM. LPA contacted the facility Administrator Ruzanna Sukiassyan. The Administrator informed the LPA that the facility does not currently have any residents and no staff were located on site. The Administrator arrived to the facility at 10:01 AM. Entrance interview conducted and the reason for the visit was explained.

Beginning at 10:05 AM, the LPA, along with the 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:

BEDROOMS : There are four (4) bedrooms in the facility; three (3) are dual occupancy rooms and one (1) is a single occupancy room. LPA and facility Administrator toured all four (4) bedrooms. All bedrooms were observed to be furnished appropriately with clean linens, appropriate furnishings, and sufficient lighting. All bedrooms were observed to contain direct exits to the outside of the facility.

BATHROOMS : There are three (3) bathrooms at the facility. Two (2) bathrooms are designated as shared resident bathrooms and one (1) is designated as a staff bathroom. All bathrooms were observed to be clean and in good repair and were equipped with nonskid surfaces. Grab bars were observed in all resident showers and near all resident toilets, all were properly secured. The water temperature was measured between 113.4 and 120 degrees Fahrenheit, which is in compliance with regulation.