Facility Evaluation Report

Licensing Program Analyst (LPA) Christine Yee conducted an announced Prelicensing and Component III visit to ensure that the facility met Title 22 requirements. The visit was conducted with Ara Ghazaryan, Applicant. Also present during the visit was Ani Ghazaryan, sibling.

The facility is a single story family home consisting of a living room, dining room, kitchen, 3 bedrooms, 2 bathrooms and a attached garage. The facility is fire cleared for 5 AMBULATORY and 1 BEDRIDDEN. Bedroom #3 is the room designated for bedridden use. Per approved fire clearance, the garage may only be used as a garage.

The following were observed on today's visit:

the living is furnished with sectionals for more than 6 residents and a coffee table. Located in the living room is a fire place currently screened with a rope mesh. A fire screen is needed. An auditory device was observed on the front door and the sliding glass door in the living room.

the dining room is furnished with a table and six chairs and a desk

The kitchen is equipped with a refrigerator, dish washer, microwave and a stove. Forks, spoons, teaspoons, dinner plates, salad plates, bowls, cups and glasses for 12 persons were observed. Pots and pans were observed for cooking. Medications are stored in a locked kitchen cabinet and knives in a locked drawer.

Perishable foods for 2 days were not purchased and non-perishables foods did not meet the 7 day requirement and needs to be supplemented prior to accepting the first resident

A fire extinguisher purchased on 7/26/23 is located on the wall between the kitchen and dining room

Bedroom #1 has 2 hospital beds, 2 night stands, 2 chairs, 2 lamps, 2 built in closet. No dressers were observed. Located in the room is a full bathroom with a shower stall, a jacuzzi, a vanity with a sink.