Facility Evaluation Report

Licensing Program Analyst (LPA) Angela Barutyan arrived at the facility unannounced to conduct a required annual visit at 11:12AM. LPA met with staff and Licensee Ross Hashemi who arrived at 12:25PM. Entrance interview conducted.

Beginning at 11:24AM, the LPA, along with staff, toured the physical plant areas inside and outside to ensure there are no health and safety hazards and that facility is in compliance with Title 22 Regulations. The following was observed:

Fire extinguisher was fully charged and last purchased 09/01/2025. All hardwired smoke and carbon monoxide detectors were tested at 11:43AM and all were functional at the time of the visit. LPA observed exit alarms by all doors which were turned off. Staff turned the alarms on during the visit and were functional and operating.

KITCHEN: LPA inspected the kitchen at 11:24AM. Kitchen appliances appeared clean and were in operable condition at the time of the visit. The facility had a sufficient supply of perishable and non-perishable food. Sharp objects and cleaning supplies were stored in a locked and inaccessible cabinets.

BEDROOMS/RESTROOMS: There are seven (7) bedrooms of which six (6) are private resident rooms and one (1) is a staff room. Staff room was observed to be unlocked. Five (5) rooms have exits to the exterior. All bedrooms were furnished appropriately with clean linens, furnishings, and sufficient lighting. There are three (3) restrooms, two (2) are attached to resident rooms and one (1) is in the hallway for resident, staff, and visitor use. LPA observed bathrooms to be clean, sanitary and in operating condition with grab bars and slip-resistant surfaces. Hot water temperatures were measured in all three (3) bathrooms and were between 105.3 F-108.0 degrees F, which is within the required range. Continued on LIC 809-C.