Facility Evaluation Report

At 11:10 a.m., Licensing Program Analyst (LPA) Melissa Ruiz arrived at the facility to conduct an announced Pre-licensing inspection. Upon arrival LPA met with Applicant/Administrator Arevhat Asiryan. This is a new application for an Adult Residential Facility. Facility is a single-story house with four (4) bedrooms and two (2) bathrooms. Facility has been approved for a capacity for four (4) clients, all of which must be ambulatory. Applicant is waiting to be vendored by Regional Center.

The physical plant was toured inside and out at 11:15 a.m. and LPA observed the following:

Common Area: LPA observed the living room and furniture to be clean and in good repair. LPA observed the dining area to be clean. The air conditioner is operational. No firearms observed or will be maintained on the premises. The smoke alarm and carbon monoxide detector are dual functioning and hard wired throughout the facility. At 9:30 a.m. they were tested and deemed operational. The fire extinguisher was observed to be full. Facility maintains a telephone landline and it was observed to be operational. Facility maintains a temperature of 68 degrees Fahrenheit. The laundry area is in the hallway and medications and files will be stored in a locked cabinet along the hallway. A first aid kit was also observed.

Kitchen Area: LPA observed the kitchen area to be in good repair and sanitary. There is a sufficient amount of start of perishable and non-perishable foods. A drawer with a lock will be used to keep sharps locked and inaccessible to clients in care. Kitchen appliances are clean and functional. The water temperature was taken and measures 118 degrees Fahrenheit.