Facility Evaluation Report

Licensing Program Analyst (LPA) Quoc Huynh arrived at the facility unannounced to conduct a required annual visit at 9:02AM. The LPA met with Staff #1 (S1), explained the reason for the visit, and they notified the Licensee. The Licensee Rebeka Durgaryan arrived at 9:35AM. Entrance interview conducted.

Beginning at 9:14AM, the LPA and S1 toured the physical plant areas inside and outside to ensure there are no health and safety hazards, and the facility is in compliance with Title 22 Regulations. The facility is a single-story residential home. The following was observed:

COMMON AREAS: At the time of the visit, living room and dining room furniture was observed to be in good condition. The living room had a screened fireplace that was inoperable. Required postings were observed in the living room. Locked file cabinets were observed near the dining table and contained files and medications. The facility maintained a comfortable temperature throughout the visit. There was a laundry room located in the hallway of the rear exit. Laundry machines were observed to be operational and locked cabinets contained detergent and cleaning supplies.

BEDROOMS/RESTROOMS: There were three (3) total bedrooms, each with dual occupancy. Bedrooms #1 and #2 had direct exits to the outside, with Bedroom #1 approved for one (1) bedridden resident.