Facility Evaluation Report

On 4/10/2026 Licensing Program Analyst (LPA) Perchui Milena Khurshudyan arrived at this facility to conduct a required Annual Inspection. Upon arrival LPA was greeted by the DSP/Staff who granted access to the facility. LPA introduced herself by showing her badge and explained the reason for the visit. LPA Khurshudyan reviewed the required postings on a wall throughout the facility. Administrator Marine Hakobyan arrived shortly after.

The inspection tool was used to complete today's visit.

At 11:15am LPA with the help of the Administrator, began a physical plant tour of the facility and the following was observed: This is a single-story building with four (04) bedrooms, three (3) bathrooms, kitchen, garage, common areas, and outdoor areas. It has an approved fire clearance for four (4) ambulatory clients. Facility is operating level three (3) clients.

Kitchen: LPA observed a seven-day supply of non-perishable food and a two-day supply of perishable food, all properly stored and labeled. Knives and other sharp items are secured in a locked kitchen cabinet that remains under staff supervision. An emergency supply of food and water was stored in both the pantry and the garage. LPA observed one fully charged fire extinguisher mounted on the hallway wall, with a service date of 11/11/2025. A weekly menu was also posted and available for review.

Common Areas : The common areas include the living and dining rooms. LPA observed these areas to be clean, well-organized, and free of clutter. Furniture appeared relatively new and in good repair, with seating capacity appropriate for the number of residents. Walls, floors, windows, screens, and blinds were clean and in good condition. Continue on LIC809-C