Facility Evaluation Report

Licensing Program Analyst (LPA) Gary Tan initially met with staff Garina Mirzakhanians who called the Administrator Rooben Ohanian for a One (1) Year Required visit for this facility. LPA explained the reason for the visit. Administrator Rooben Ohanian arrived twenty (20 minutes later.

A tour of the physical plant was conducted at 9:18 AM and the following was noted:

There is only one entrance being utilized at the facility. Screening area is located immediately upon entrance. Sign in sheet, hand sanitizer, gloves and masks are available. The facility had submitted and approved Infection Control and Mitigation plan. The facility has a designated visitors' area at the backyard. The facility has sufficient stock of PPE in the storage room. The facility is a single story house with a total of three (3) bedrooms and two (2) bathrooms. Fire cleared for six (6) non-ambulatory residents, one (1) of which may be bedridden on Room 1.

Living and dining room furniture were also checked. The living room is neat and clean. The facility maintains a comfortable temperature at 75°F. The smoke detectors are hardwired and interconnected and observed to be operational. There is a carbon monoxide installed at the facility. Fire extinguisher is located in the dining area and observed to be full and last inspected on 03/04/25.

The Clients' rooms are adequately furnished with appropriate furniture and lighting system. Hall ways/passage ways are lit. Clients have sufficient amounts of personal hygiene product which is provided by the licensee. The backyard of the facility has outdoor furniture, with a covered shaded area for clients. There is no body of water in the facility. There is a tool shed on the side yard separated by a 5' gate and inaccessible to residents. (continued on LIC 809-C)