Facility Evaluation Report

Licensing Program Analyst (LPA) Mariana Agban conducted an Annual Required visit and inspection of the facility. LPA met with staff, Herman Ledesma, and explained the reason for the visit. Administrator Tina Arutyunyan had arrived later to the facility.

At approximately 10:00 am, with the assistance of staff, LPA took a tour of the physical plant. Required postings were observed in the entry area. LPA observed dual smoke and carbon monoxide detectors were located throughout the facility, and they were tested and observed to be operational. The fire extinguisher is located in the kitchen. The purchase date is September 24,2024.

Kitchen: The kitchen appliances and fixtures were functional. LPA found a sufficient amount of perishable and non-perishable food sealed and properly stored. Knives were stored in a locked drawer. LPA observed medications are centrally stored and locked in a kitchen cabinet and inaccessible to residents in care.

Bedrooms: There are five (5) bedrooms designated for residents use and have sufficient lighting. All bedrooms are properly furnished, clean and have appropriate bedding and linens. Auditory alarms were tested and observed to be operational . Staff bedroom is located by the living room.

Bathrooms: There are three (3) bathrooms designated for residents' use. Bathrooms were properly supplied and had functional fixtures. Hot water temperature was measured between 106.7 F. No cleaning supplies were observed in either bathrooms during the day of the inspection.

Common Areas : These included the living room, family room and dining area. The common areas were properly furnished. The dining room table is large enough to sit the capacity of the facility. Seating such as couches where in good repair and sit the capacity of the facility . (Continue on 809C)