Facility Evaluation Report

Licensing Program Analysts (LPA) Leslie Ngo-Castaneda conducted a Pre-Licensing Inspection with the licensee, Diana Navasardyan, and Armine Harutyunyan who is the administrator. An application to operate a Residential Care Facility for the Elderly (RCFE) was approved by Community Care Licensing (CCL) on October 11, 2024. A fire clearance was approved on January 21, 2025 for two (2) ambulatory residents. three (3) non-ambulatory, and one (1) bedridden resident, for a total capacity of six. The applicant was granted a hospice waiver to retain four (4) residents. The smoke alarms and carbon monoxide detectors are dual and inter-connected. The facility has a brand new fire extinguisher purchased on 06/08/2024. Fire extinguisher is located at the dining room. With the assistance of the administrator, LPA took a tour of the physical plant was initiated and the following was observed:

KITCHEN: The facility has a kitchen area that is equipped with a refrigerator, stove/oven, and sink. There was an adequate supply of perishable and non-perishable food items observed. Knives were observed locked in a kitchen drawer. Cleaning supplies observed locked underneath the kitchen sink and the laundry room.

BEDROOMS: There are four (4) bedrooms at the facility, all of the bedrooms are going to be used for residents. Bedroom #1 is shared where bedridden resident and bedroom #4 is shared as well for non-ambulatory residents. Bedroom #2 and bedroom #3 are private and will be for ambulatory residents. All bedrooms were furnished with beds, night stand, dresser, beddings, and linens. The bedrooms have sufficient lighting.