Facility Evaluation Report

Licensing Program Analyst (LPA) Angela Barutyan arrived at the facility unannounced to conduct a required annual visit at 9:31AM. LPA met with Caregiver Mkrtich Zorayan and Licensee/Administrator Sargis Ayvazyan who arrived at 09:55AM. Entrance interview conducted.

Beginning at 9:33AM, the LPA, along with the Caregiver toured the physical plant areas inside and outside to ensure there are no health and safety hazards and that facility is in compliance with Title 22 Regulations. The following was observed:

Fire extinguisher is fully charged and was last purchased 07/11/2024. Hardwired smoke and carbon monoxide detectors were tested at 09:49AM and all were functional at the time of the visit. LPA observed exit alarms by all doors which were functional and operating.

KITCHEN: LPA inspected the kitchen at 9:32AM. Knives are locked in a drawer next to the sink and cleaning supplies are stored inaccessible in a locked cabinet under the sink. Kitchen appliances were in operable condition. The facility has a sufficient supply of 2 (two) days perishable and 7 (seven) days non-perishable food. Food was stored at appropriate temperatures.

BEDROOMS : There are 3 (three) total bedrooms in the facility and all are designated as shared rooms. All resident rooms were observed to be furnished appropriately with clean linens, appropriate furnishings, and sufficient lighting.

BATHROOMS : There are 2 (two) total bathrooms, of which 1 (one) is attached to resident room. Restrooms were observed to contain nonskid mats. At 9:45AM, LPA observed suction grab bars by the showers which were loose and not functioning properly. Water temperatures in both bathrooms were measured between 118.5 and 118.7 degrees Fahrenheit, which is within the required range. LPA observed storage space closets in hallway containing clean linens for resident use. Report Continued on LIC 809-C