Facility Evaluation Report

Licensing Program Analyst (LPA) Angela Barutyan conducted a pre-licensing visit to the facility noted above at 10AM. LPA met with Administrator Arusyak Ohanyan, Applicant Araksya Hovhannisyan, and Applicant Representatives Lusine Tadevosyan and Iren Stepanyan. 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 four (4) bedrooms total; three (3) are shared resident bedrooms and one (1) private bedroom. Three (3) resident bedrooms are cleared for nonambulatory and one (1) bedroom, Bedroom #2, is cleared for bedridden. The combination smoke alarm/carbon monoxide detectors and fire door were tested and functioned properly. LPA observed one (1) fire extinguisher to be fully charged and purchased on 04/23/2025.

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 #2. Bathrooms contained appropriate slip-resistant surfaces and grab bars. Hot water temperature was measured in all bathrooms, and they measured between 108.0 – 109.6 degrees Fahrenheit, which is within the required range. LPA observed trash cans with tight fitting lids at the time of the visit.