Facility Evaluation Report

Licensing Program Analysts (LPA) Erica Mosley arrived at the facility unannounced to conduct a required annual visit and entered the facility at 10:02 a.m. Upon arrival, LPA Mosley was greeted by staff and administrator and inform them of the visit. The LPA met with Administrator ANI GHAZARYAN and explained the reason for the visit. The 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.

The facility is a single-story family home located in the back of the property consisting of 2 homes. The home consists of a living room, dining room, a kitchen, three (3) resident shared bedrooms, three (3) bathrooms, and a private staff / guest half bathroom/ common powder room. The entry way to the back house is separated from the front house, which has a separate address, and separated by a solid fence. The facility is fire cleared for 5 NON-AMBULATORY and 1 BEDRIDDEN resident.

RESTROOMS: The three (3) resident restrooms and a half restroom /powder room were clean, sanitary and in operating condition with grab bars and non-skid surfaces. The restrooms were sufficiently stocked with supplies and paper towels. The hot water temperature was measured between 10:10 a.m.to 10:26 a.m.; the first bathroom measured at 107.3 degrees Fahrenheit at 10:10 a.m, the second bathroom measured at 110.9 degrees Fahrenheit at 10:15 a.m the third bathroom measured 110.8 at 10:26 a.m. all within the required range.

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