Facility Evaluation Report

Licensing Program Analyst (LPA) Brian Balisi arrived at the facility unannounced to conduct a required annual visit at 9:45am. LPA contacted Licensee Elianora Yebeyan and explained the reason for the visit. Shortly after Licensee arrived at approx. 10:00am, LPA toured the physical plant areas inside and outside to ensure there are no health and safety hazards and facility is in compliance with Title 22 Regulations. There are no residents currently admitted.

The facility is a single story family home consisting of a living room, dining room, kitchen, 4 bedrooms and 2 full bathrooms. Attached to the home is an accessory dwelling unit that is not part of the facility operations. It has a separate address of 7446 Mammoth Avenue. The facility is fire cleared for 5 NON-AMBULATORY and 1 BEDRIDDEN residents. Bedroom #1 is designated for bedridden use.

The kitchen appeared to be clean and the appliances and fixtures functional during the time of visit. LPA observed a sufficient amount of perishable and non-perishable food at the facility; properly stored. Sharp objects are stored in a locked drawer to the left of the stove. Cleaning supplies were observed kept inaccessible underneath the sink.

The resident bedrooms were properly furnished with a bed, night stand, and sufficient lighting for each resident. The bedrooms had appropriate and adequate bedding and linens such as sheets, pillowcases, mattress pads, and blankets. Hallway cabinets were observed to be able to store medication inaccessible for future residents in care. LPA also observed a sufficient amount of non-perishable foods, and linen stored in these cabinets as well. There is a dedicated area for the posting of required documents directly by the entry way and across the hallway cabinets.