Facility Evaluation Report

Licensing Program Analyst (LPA), Alberto Lopez, conducted an unannounced

annual visit. LPA was met by staff Barry Patnett. Administrator Karen Mesropyan arrived a short time later.

Infection Control : Facility has infection control plan, and no resident is currently infected with any infectious disease at the time of visit.

Operational Requirements : Facility showed proof of liability insurance that expires 03/13/2027

Physical Plant : There is a total of five (5) bedrooms. There is a bedroom designated for staff next to the kitchen on your left-hand side. There is a total of four (4) bedrooms for residents’ use. All the bedrooms have proper bedding, night stands, and lamps in addition to overhead lighting. Rooms did not have chairs for all residents. There is adequate supply of linen stored in the cabinets next to the bedrooms. There are (3) bathrooms. The facility has a working phone number and land line. Fire Extinguisher is located near kitchen door on your left-hand side on the floor. It is fully charged and was last checked on 04/25/2025

Kitchen: Dishes, cups, and flatware are stored in the kitchen cupboards, inspected and in good repair. Food supply adequate stored in several cabinets and consists of the following cereal, canned goods, bottles of water. Dishwasher in kitchen properly installed and functioning. The refrigerator is in good condition and working. There were dead insects inside the refrigerator and promptly clean. There are smoke detectors/carbon monoxide throughout the house that were tested and work properly. They are hardwired and interconnected. There is also one in each room. The water temperature was tested for the bathrooms and are within regulation -112.5 -117.0 Fahrenheit. (Continued)