Facility Evaluation Report

On 02/03/25, at 9:40am, Licensing Program Analyst (LPA), Gina Saucedo, arrived to conduct an unannounced, annual inspection at the facility. Upon arrival, LPA Saucedo met with Lead Caregiver Larisa Bobakova and disclosed the purpose of the visit. LPA spoke to the administrator Armenuhi Avetisyan via telephone.

LPA asked for the census, resident, and staff files.

A physical tour was conducted at 11:05 AM and observed the following: Facility is a single-story home:

he Kitchen area was toured, and LPA observed there to be sufficient seven (7) day supply of non-perishable foods and perishable food for all residents. The kitchen area was clean at the time of the tour. There are two (2) fire extinguishers; one (1) is located against the wall on your right-hand side towards the backyard. The other is located by the entrance of the facility with an expiration of 04/2025. There is a telephone line on the counter in the kitchen another telephone line by the entrance of the facility. There is extra, food in the kitchen pantries. The medications are locked and inaccessible to the residents in a black cabinet on your left-hand side at the entrance of the facility. The first aid kit is located on the top, black cabinet where the medication is kept. The knives are at the top of the kitchen counter on your right-side in a locked black box and inaccessible to the residents.

Outside/Backyard: The outside/backyard has furniture for the residents with proper seating. The facility does have a signal system. The facility does not have a pool/body of water. There is no garage.