Facility Evaluation Report

Licensing Program Analyst (LPA) Angel Ascencio conducted unannounced required annual inspection to the above facility. LPA Ascencio met with staff at 09:45 a.m. Entrance interview conducted. Administrator Gigi Papazian and Alin Papazian arrived shortly after.

The LPA toured the physical plant areas inside and outside at approximately 10:00 a.m. to ensure that there

KITCHEN: At 10:00 a.m., the LPA toured the Kitchen. The supply of dishes, utensils, pots, pans and drink ware is adequate. The freezer was maintained at zero degrees Fahrenheit (0*F) and the refrigerator was maintained at 40*F. The supply of perishable and nonperishable food is adequate.

LAUNDRY: At 10:05 a.m., the LPA observed the laundry area which is located in next to the kitchen.

Appliances were clean, sanitary and in operable condition.

BEDROOMS: There are four (4) bedrooms designated for resident use. All rooms are approved as bedridden rooms. Bedroom #1 and #2 are single occupancy. Bedroom #3 and #4 are double occupancy with exits to the exterior. Bedroom #3 and #4 also have bathroom within the rooms. The facility has furnished each room with clean linens, appropriate furnishings, and sufficient lighting for resident use. Storage space cabinet in hallway was observed containing clean linens for resident use.

BACKYARD: The backyard has a covered outdoor area equipped with furniture for resident use. There were no bodies of water noted.