Facility Evaluation Report

Licensing Program Analyst (LPA) Angela Barutyan conducted a pre-licensing visit to the facility noted above at 09:39AM. LPA met with Administrator Sahak Sahakyan. The applicant has obtained fire clearance for a total capacity of six (6) residents.

LPA inspected facility for Fire Safety, Personal Accommodations and Services, and Food Service. The facility is one story. The facility has three (3) shared resident bedrooms. There is an ADU on the premises where staff will stay. All resident bedrooms are cleared for nonambulatory only. The combination smoke alarm/carbon monoxide detectors and fire door were tested and functioned properly. LPA observed two (2) fire extinguisher to be fully charged and purchased on 06/07/2024.

LPA toured the kitchen area at approximately 09:48AM. The hot water temperature was measured in the kitchen sink, and it measured 106.0 degrees Fahrenheit. Appliances and all equipment appear to be clean and in good repair. The kitchen has a sufficient supply of plates, cups, cookware, utensils, and non-perishable foods. Kitchen knives and sharps are locked in a cabinet drawer.

Resident bedrooms are equipped with clean mattresses, pillows, and bedding. Bedrooms have sufficient lighting. There is a sufficient supply of linens, including blankets, bath towels and wash cloths. The facility has two (2) bathrooms for resident use; one (1) is in the hallway and one (1) is attached to bedroom #3. Bathrooms contained appropriate slip-resistant surfaces and grab bars. Hot water temperature was measured in all bathrooms, and they measured between 107.8 – 108.0 degrees Fahrenheit, which is within the required range. LPA observed trash cans with tight fitting lids at the time of the visit.