Facility Evaluation Report

On 01/08/2025 Licensing Program Analyst (LPA) Melissa Spaeth conducted an announced pre-licensing visit to this facility and met with the Applicant, Sona Galstyan. This is a new application. A fire clearance dated 08/20/2024 was received for one (1) ambulatory resident and five(5) bedridden residents for a total capacity of six (6) residents. Bedroom one (1) is designated to house one (1) ambulatory resident, bedroom two (2) to house two (2) bedridden residents, bedroom three (3) to house two (2) bedridden clients, and bedroom four (4) to house one (1) bedridden client.

The purpose of today’s visit is to inspect the facility to ensure that it maintains compliance under California Code of Regulations, Title 22, Division 6. Component III was conducted with the applicant from 9:45 am until 11:30 am. Today’s site visit consisted of LPA touring the physical plant inside and outside from 11:30 am until 12:00 pm. LPA Spaeth observed the following:

Living Room/Office – the living room contained comfortable seating and a television. The room is also the facility office which contains two drawer cabinets. The resident and staff files will be locked within one of the cabinets.

Kitchen/Dining/Family Room - The knives were locked in a kitchen drawer and the medications will be locked in a kitchen cabinet. The washer/dryer are located in a closet within the kitchen. A fire extinguisher is located in the kitchen. The dining room section contained a dining room table and chairs. The family room contained comfortable seating, games, and a television.