Facility Evaluation Report

On 07/11/2024 Licensing Program Analyst (LPA) Mario Leon conducted an announced visit to the above-mentioned facility using the CARE tool. LPA was greeted by applicant Lauren Mahakian, Administrator, and LPA explained the purpose of today’s pre-licensing inspection visit.

An application was submitted to Community Care Licensing Division (CCLD) on 03/26/2024 for the initial license application for a Residential Facility for the Elderly (RCFE), ages 60 years and above. The applicant requested a capacity of six (6) individuals, of which six (6) may be non-ambulatory and zero (0) bedridden residents.

The facility is a one-story residential home, located in a residential neighborhood. The facility consists of four (4) bedrooms, two-and-a-half (2.5) bathrooms. The facility has a two (2)-car garage, which is designated as a staff break-room. The garage has ample emergency water and an emergency bin which contains additional lighting and a can opener, among other emergency supplies. In the garage there are two (2) mini-fridges. One (1) mini-fridge is designated for refrigerated medicines and one (1) mini-fridge is designated for staff usage. The home includes a living room, dining room, kitchen, and laundry area. The living room has one (1) fireplace, adequately screened. The living area includes six (6) recliner chairs, each with a side table. The kitchen has a refrigerator, microwave, stove and various appliances located on the counter. The rear exterior has two (2) shaded seating areas, one (1) private family seating area and is fenced throughout. All passageways and walkways are free from obstructions.

The facility has four (4) bedrooms for residents. Two (2) rooms are private and two (2) rooms are shared, all rooms are for non-ambulatory residents. All rooms include a twin-sized bed, one (1) chair, one (1) night stand, and one (1) table lamp. All bedrooms are equipped with a ceiling light. All rooms have a closet, which complies with the requirement of 8 cubic feet of space for each residents' belongings. All rooms also include wall night lights.