Facility Evaluation Report

Licensing Program Analyst (LPA) Michael Cava conducted an Annual Required visit and inspection of the facility. LPA met with staff, Isaiah Phiri, and explained the reason for the visit. The administrator, Andranik Kapikyan, was notified over the telephone.

At approximately 10:15am, LPA took a tour of the physical plant. The facility is a one story building. The smoke alarms and carbon monoxide are dual and interconnected. There are two fire extinguishers. One is located in the kitchen, and the other is located in at the enclosed patio area. The charge date is March 4, 2024.

Kitchen: The kitchen appliances and fixtures were functional. LPA found a sufficient amount of perishable and non-perishable food at the facility; properly stored. Knives were stored in a locked drawer in the kitchen. Cleaning supplies were stored locked underneath the kitchen sink.

Bedrooms: There are four (4) bedrooms designated for residents' use. Rooms #1 & #3 are shared. Rooms #2 & #4 are private. Room #3 has the bedridden fire clearance, per STD 850. Bedrooms were observed to be properly furnished with appropriate beddings and linens with sufficient lighting.

Bathrooms: There are two (2) bathrooms designated for residents' use. Bedroom #3 has it's own bathroom. Both bathrooms were properly supplied and had functional fixtures. Hot water temperature was measured between 109 and 114 degrees Fahrenheit. No cleaning supplies observed in either bathrooms.