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 was not able to join today's visit. At approximately 02:15 pm, with the assistance of staff, LPA took a tour of the physical plant. Required postings were observed in the entry area.

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. LPA observed t he fire extinguisher is located in the kitchen. The purchase date is 09/24/25.

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. Currently, Bedroom#3 and #4 are vacant. 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 108.6 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.

Staff Workstation/Office : There is a staff workstation located at the corner of the living room.

Laundry area : The laundry area is located adjacent to the garage. No cleaning supplies or detergents present during inspection. Cleaning supplies and detergents are kept in the garage, that has a locked entry.

Garage: The garage is attached to the building. It is used for storage space to keep cleaning supplies and detergents. Entry to garage is kept locked at all times. Due to time constraints, LPA was unable to complete the annual inspection during today's visit. The Administrator was informed that a follow-up visit will be conducted. Today's the facility complies with Title 22 regulations. No immediate health and safety risks were observed. Exit interview conducted. Copy of report provided.