Facility Evaluation Report

Licensing Program Analyst (LPA) Shira Stamps met with Seda Smbatyan (Licensee/Applicant) and Narine Ghazaryan (Administrator) for a Pre-licensing inspection at 10:30 am.

The facility has four (4) bedrooms and two (2) bathrooms designated for a capacity of six (6) six. One (1) bedroom is designated for bedridden. Staff will be awake at night. The physical plant was toured inside and out at 10:40 am.

Common Area: LPA observed the living room and furniture to be clean and in good repair. LPA observed the dining area to be clean and in good repair. The facility maintains a comfortable temperature at 69 degrees F, which meet regulations. The air conditioner is operational. No firearms observed or will be maintained on the premises.

The smoke alarm and carbon monoxide detector were operational and tested at 11:00 am. The fire extinguisher appears to be full.

Resident room s: LPA observed rooms to have bedding sheets, pillowcase, blankets, which are in good condition. There is at least one chair, a nightstand, and sufficient lighting for each client. The mattress and bedspring were also checked for condition.

Window covering and window screens are in good repair for each room.

Residents will have sufficient amounts of supplies for personal hygiene products, which is provided by the Licensee.