Facility Evaluation Report

Licensing Program Analyst (LPA) Abeye Duguma met with Liana Avanesyan for a Required One (01) Year visit. LPA explained the reason for the visit. A tour of the physical plant was conducted at around 09:30 AM and the following was noted:

The facility is fire cleared for six (6) non-ambulatory of which one may be bedridden in bedroom #2 and a hospice waiver for six (6). The facility is currently occupying five (5) residents.

There is outdoor furniture with a covered shaded area for residents and visitors. LPA did not observe a swimming pool/body of water.

The living and dining room are neat and clean. Hallways are well lit. The residents' rooms are adequately furnished with appropriate lighting system. The facility has a total of three (3) bedrooms and two (2) bathrooms. The bathroom was checked for cleanliness and proper operations. Residents have enough personal hygiene product provided by the licensee. Towels and washcloths are not shared. There was enough clean linen available in the cabinets.

Kitchen is sufficiently stocked with at least two (2) days perishable and seven (7) days non-perishable food. Frozen foods are wrapped and stored appropriately. Food storage and preparation areas are clean and inaccessible to pests.