Facility Evaluation Report

On 5/19/2026 at approximately 09:30 AM, Licensing Program Analyst (LPA), Angelica Segovia conducted an unannounced annual visit to the facility. LPA was greeted by the staff and stated the reason for their visit. The Administrator, Iveta Darabedyan arrived shortly after to assist with today’s visit.

LPA asked for the census, Staff/Resident Roster, and Liability Insurance. LPA conducted a physical plant tour at approximately 11:00 AM and the following was noted:

The facility is a single-story building with five (5) bedrooms and three (3) bathrooms. The facility is currently occupying four (4) residents. There is a designated staff room and staff bathroom. The facility has an approved fire clearance for six (6) non-ambulatory residents of which one (1) may be bedridden. Hospice waiver approved for six (6).

Common areas: The living room and dining room were observed to be neat, clean, and organized. The rooms were observed to be properly furnished and in good repair. The facility maintains a comfortable temperature at 73°F. LPA observed a fire extinguisher to be located near the kitchen and purchase receipt of 01/17/2026. LPA observed required postings such as Long-Term Care Ombudsman, Emergency Disaster Plan, and Personal Rights to be located alongside the common areas. A working telephone was observed. LPA observed the fireplace to be covered and inaccessible to residents. Auditory alarms were observed throughout all entrances/exits of the facility.