Facility Evaluation Report

ON 8/6/2025 Licensing Program Analyst (LPA) Perchui Milena Khurshudyan conducted a Case Management visit at the above facility to verify that Resident #1 (R1) relocated to the facility on 8/5/2025, and to confirm that R1 is doing well following the transition. Upon arrival LPA met with the Caregiver Isaiah Phiri and explained the reason for the visit. Entrance interview conducted. Facility Co-Administrator Andranik Nick Kapikyan arrived shortly after.

At approximately 12:45pm LPA requested facility staff and clients’ rosters. During today’s visit, LPA conducted a physical plant tour at the facility to ensure health and safety of the residents are protected.

LPA requested to confirm R1’s identity and well-being. During the physical plant tour, LPA checked R1’s private room and observed R1 on wheelchair resting in their room. A brief interview was conducted with R1. R1 appeared alert and oriented to place and time. R1 expressed that the move was smooth and reported feeling comfortable in the new facility. No signs of distress were observed during the visit.

To confirm R1’s identity, LPA verified R1’s name and date of birth with both the resident and facility records. Based on LPA’s observation and brief interview, R1 appears to be adjusting well and had no concerns or complaints.

During today's visit LPA collected the following documents:

No deficiencies were observed during this visit.

Exit interview conducted with the Administrato r. A copy of this report signed and delivered.