Facility Evaluation Report

Licensing Program Analyst (LPA) Angela Barutyan arrived at the facility unannounced to conduct a required annual visit at 11:24AM. LPA met with Head Caregiver (HC) Dexter Olavario. Administrator Belinda Dolinsky could not be on site at the time of the visit, but Dexter Olavario was designated to sign in their place. Entrance interview conducted.

Beginning at 11:26AM, the LPA, along with the HC 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 extinguishers were fully charged and last serviced 07/24/2025. Hardwired smoke detectors and carbon monoxide detector in kitchen were tested at 11:45AM and all were functional at the time of the visit. LPA observed exit alarms by all doors which were functional and operating.

KITCHEN/GARAGE: LPA inspected the kitchen at 11:26AM. Knives and sharps were stored in a locked drawer. Kitchen appliances were in operable condition. The facility had a sufficient supply of perishable and non-perishable food. LPA observed emergency food and water supply in the pantry next to the kitchen. Food was stored at appropriate temperatures. The locked garage is accessed through the kitchen. LPA observed an additional refrigerator/freezer and cleaning supplies in the garage.

BEDROOMS : The facility consists of eight (8) total bedrooms, of which six (6) are designated for single-resident use and two (2) are designated for staff use. All resident rooms have exits to the exterior. All resident rooms were observed to be furnished appropriately with clean linens, appropriate furnishings and sufficient lighting. Report Continued on LIC 809-C