Facility Evaluation Report

Licensing Program Analysts (LPA) Erica Mosley arrived at the facility unannounced to conduct a required annual visit and entered the facility at 10:30 a.m. Upon arrival, LPA Mosley was greeted by staff and called the administrator to inform them of the visit. The administrator arrived shortly thereafter. The LPA met with Administrator VAHE MKRTCHIAN and explained the reason for the visit. 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 facility is a single-story home consisting on a living room, a kitchen, a dining room, 5 bedrooms, 3 full bathrooms and a detached garage located at the back of the property. Part of the garage has been converted to an office and part of the garage is used for storage. The facility is fire cleared for 5 non-ambulatory and 1 bedridden. However, at the request of the Licensee, the facility is licensed for a total of 4 residents of which 1 may be bedridden. Any of the resident bedrooms may be used for the bedridden resident.

RESTROOMS: There are two (2) designated resident restrooms, one (1) of which is a private restroom and one (1) is a shared restroom. One (1) restroom is designated as a staff restroom which remains locked, however can be used in emergency situations. All three (3) restrooms were clean and sanitary and in operating condition with grab bars and non-skid surfaces. The bathrooms were sufficiently stocked with supplies and paper towels. The hot water temperature was measured for all restrooms between 11:20 a.m. to 11:31 a.m.; the first restroom, designated as the shared restroom measured at 110.9 degrees Fahrenheit at 11:20 a.m., the second, private restroom measured at 114.6 degrees Fahrenheit at 11:31 a.m. the third staff restroom measured 114.6 at 11:26 a.m. all within the required range.