Facility Evaluation Report

Licensing Program Analyst(LPA) Christine Yee conducted an unannounced required Annual Inspection using the complete CARE Inspection Tool. LPA Yee was let into the home by Mirna Apkarian, Staff. Armenuhi Avetisyan, Administrator was contacted by telephone and she arrived at 11:16am to conduct the visit.

The facility is a single storey home consisting of a living room, dining room, kitchen, 3 resident bedrooms, 2 common bathrooms of which one is designated for staff use, a staff room and a attached garage. The home is fire cleared for 5 non-ambulatory and 1 bedridden. Bedroom # is approved for bedridden use.

On today's visit, LPA Yee reviewed all 12 domains of the CARE Inspection Tool, 4 residents files, 5 staff files and toured the physical plant, inside and outside and the following was observed:

the living room, dining room and kitchen were appropriately furnished and equipped. On today's visit the refrigerator in the kitchen was turned off to troubleshoot the excess ice in the freezer and may have to be replaced. Per the Administrator, the refrigerator just started acting up yesterday, 7/27/25 and is scheduled for an inspection from a repair person this evening to determine if it needs to be replaced. The water tested in the kitchen read 118.6 degrees Fahrenheit.

Sufficient perishable foods were observed in the garage refrigerator for 2 days and non-perishable foods for 7 days were observed in the hallway closet.

Bedroom #1, located in the front of the home is currently used as a private room and was observed with a hospital bed, 2 night stands, 2 lamps, a chair and a built in closet. No dresser was provided at the request of the resident. The bed linens were provided as per the resident's personal request.