Facility Evaluation Report

Licensing Program Analyst (LPA) Sandra Urena conducted an unannounced required annual inspection visit and met with the Licensee Christina Gabuzyan, and the LPA explained the reason for the visit. The facility was approved for six (6) non-ambulatory residents, one (1) bedridden resident in bedroom #3.

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 are 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 10/08/2025. BEDROOMS: There are three (3) bedrooms for residents in care. Rooms 1, 2 and 3 are shared rooms; all bedrooms are cleared for non-ambulatory purposes, 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 space available.

BATHROOMS: There is one full bathroom, with shower and a bathtub. Bathroom is equipped with toilet and shower grab bars, and non-skid mats. There are sufficient supplies of towels, paper goods and personal hygiene supplies. Hot water delivered was delivered at 115.6 degrees Fahrenheit. Continues on LIC 809C...