Facility Evaluation Report

On 11/27/2023 at 02:00 PM, Licensing Program Analyst (LPA) Christopher Alemoh conducted an unannounced Required – Annual Continuation Inspection and met with Administrator Narek Davtyan. No residents present and two (2) staff were present during this inspection.

Facility has been approved for a capacity for Four (4) residents. The Annual Licensing Fees are current.

The home consists of 1 floor level with: 4 resident rooms, 3 restrooms, kitchen, dining room, and laundry room and 1 staff room.

At 02:20PM the administrator accompanied LPA inside and outside the facility during facility plant tour. Outside grounds were toured and no bodies of water were observed. Walkways around the home were clear of hazards.

Resident bedrooms had the required furniture, bed linens and closet/drawer space to accommodate each resident comfortably. There are no security bars or weapons on the premises.

Resident bathrooms were checked. Toilets and water faucets worked properly, grab bars were secure, shower was free of mold/mildew and a non-skid mat was in place, hot water temperature properly measured at 111F. Resident bath towels, toiletries and personal hygiene supplies were adequately stocked. LPA toured the shared hallway restroom temperature measured at 112 degrees Fahrenheit.

Common areas were clean and clear of hazards, doorways were free of obstructions. Facility Temp at 70 degrees Fahrenheit.