Facility Evaluation Report

On 12/07/2025 at approximately 10:00 AM, Licensing Program Analyst (LPA), Angelica Segovia conducted an unannounced annual visit to the facility. LPA was greeted by the caregiver and stated the reason for their visit. The Administrator, Marieta Petrosyan arrived shortly after to assist with today’s visit.

LPA asked for the census and Staff/Client Roster. LPA conducted a physical plant tour at approximately 12:00 PM and the following was noted:

The facility is a single unit building with four (4) bedrooms and three (3) bathrooms currently occupying four (4) clients. There is one (1) designated staff room and one (1) staff bathroom. The facility has an approved fire clearance for four (4) ambulatory clients. The facility is vendor through North Los Angeles Regional Center (NLARC) and is being operated at a Level II Adult Residential Home.

Common areas: The living room and dining rooms 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 71°F. LPA observed a fire extinguisher to be located in the kitchen. LPA observed required postings such as See/Say Something, Facility License, and Personal Rights located alongside the hallway’s passageway. A working telephone was observed. A fireplace was observed to be covered.

Kitchen: The kitchen was observed to be clean and free from pests. Sufficient supplies of seven (7) day nonperishable foods and two (2) day perishable foods were observed. An extra freezer with additional food for clients was observed. Kitchen appliances were observed to be working and in proper condition. The knives/sharps were observed to be kept within a locked kitchen drawer. (continued on LIC 809-C)