Facility Evaluation Report

Licensing Program Analyst(LPA) Christine Yee conducted an unannounced required Annual Inspection and used the complete CARE Inspection Tool. LPA met with Emma Kochinyan, Administrator. The reason for today's visit was provided.

The home is a single family home consisting of a living room, a dining room, a kitchen, a family room, 3 resident bedrooms, 2 bathrooms and a attached garage. The facility is fire cleared for 5 NON-AMBULATORY residents and 1 BEDRIDDEN resident. Based on the review of the rooms, Bedroom #3, located at the back right corner of the home, has an outside exiting door with a ramp and would be the room designated for bedridden use.

All 12 domains of the Care Inspection Tool was reviewed, 4 resident and 4 staff files were reviewed on today's visit.

The kitchen was appropriated equipped with a refrigerator, oven, microwave, coffee maker. The water temperature was tested and read 109.6 degrees Fahrenheit.

Sufficient perishable food for a minimum 2 day and non-perishable foods for 7 days were observed.

The dining room was observed with a table and 4 chairs. 2 dining room chairs were stored in the garage. One of the 2 chairs were broken. Located in the dining room is the only fire extinguisher. It was last serviced on 3/31/25.