Facility Evaluation Report

Licensing Program Analyst (LPA) Sandra Urena conducted a Pre-licensing visit and met with the applicant Christina Gabuzyan. This is a new facility application for a Residential Facility for the Elderly (RCFE) for six (6) non-ambulatory residents, one (1) bedridden resident can be admitted and reside in bedroom #3. Fire Clearance was approved on 11/01/2024 for all rooms for non-ambulatory use, and room # 3 for one bedridden resident.

At 10:05 a.m., the LPA, and the Applicant toured the physical plant areas inside and outside to ensure there are no health and safety hazards and that the facility will be following Title 22 Regulations.

KITCHEN: Kitchen knives are stored locked and inaccessible in a locked kitchen drawer. A seven-day supply of non-perishable food was available. The supply of dishes is adequate. Appliances in the kitchen were clean and all appeared functional. Kitchen cleaning supplies will be stored and locked under the kitchen sink. Hot water temperature was recorded at 116.8 degrees Fahrenheit. Trash cans have a tight-fitting lid. There were no pesticides or toxins stored near food, or preparation area. The first aid supplies were complete, including a thermometer and a current version of a first aid manual. Two fire extinguishers were observed; one is located by the office and another one is located in the kitchen area. Both were serviced on 08/13/2024. The applicant will install a ramp with handrails for residents to access the patio area.

BEDROOMS: There are three (3) bedrooms for residents in care. Rooms 1, 2 and 3 will be shared rooms; all bedrooms are cleared for non-ambulatory, and bedroom #3 is cleared for one bedridden resident. All bedrooms were supplied with all required bedding and linens. There is sufficient lighting as well as closet and some space available. Applicant will add additional chest of drawers to bedrooms 1 and 2. Applicant will add two (2) lamps to bedroom #3. Applicant will add handrails to ramp connected to bedroom #3.