Facility Evaluation Report

On 11/08/2023, Licensing Program Analyst (LPA) Wendy Gibbs conducted an unannounced annual required visit using the full CAREs tool. LPA met with Licensee/Administrator, Lauren Mahakian and explained the purpose of today’s visit. We were later joined by House Manager, Kristi Simonian. The facility is licensed to operate for five (5) elderly residents ages 60 and above. The facility is approved for five (5) non ambulatory with a hospice waive for two (2) residents. There are five (5) residents residing in the facility and all five (5) residents were present during the visit.

Physical Plant/Structure The facility is a single-story home located in a residential neighborhood. The facility consists of three (3) resident rooms, two (2) bathrooms, a living room area, a dining area, kitchen and an attached garage. The ramps leading to the frond and back door have secured railings. LPA observed a table and chairs on a shaded patio in the back yard. The gates on the side of the home are equipped with an egress system. All walkways were observed clean, clear, and free of obstructions, hazards, and debris. LPA did not observe any bodies of water on the premises.

Bedrooms LPA inspected all bedrooms and found them to be clean and in good repair. All rooms were observed with the required furniture including a bed, dresser, nightstand, chair, and adequate storage space for resident’s personal belongings. All bed were observed with the required linens including a mattress cover, fitted sheets, blanket, comforter, and pillow. Beds and bedding supplies were observed in good repair. All bedrooms were observed with adequate lighting. LPA observed an adequate supply of linens stored in a hall closet.

Bathrooms LPA observed the bathrooms to be within Tittle 22 regulations and fully operable. The showers had secured safety handrails, nonskid mats, and shower chairs. The water temperature measured 105.8- degrees and 106.1-degrees Fahrenheit. LPA observed an adequate supply of bath towel and wash clothes in good repair. LPA observed storage space for resident’s hygiene products. An additional supply was observed stored in the garage and are inaccessible to residents.