Facility Evaluation Report

Licensing Program Analyst (LPA) Zabel Chochian arrived at the facility unannounced to conduct a required annual visit. LPA initially met with facility staff. Co-Administrator Vana Barberis and Licensee Cilva Toume arrived to assist LPA with visit.

Beginning at 10AM, 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 is fully charged and purchased on 04/22/2026. Smoke and Carbon Monoxide detectors were tested and observed functional at the time of the visit.

BEDROOMS : There are 7(seven) total bedrooms in the facility; 6 (six) bedrooms are designated for resident use, 1 (one) staff room. The staff room is kept locked and the storage room did not contain any hazardous items. All resident rooms were observed to be furnished appropriately with clean linens, appropriate furnishings and sufficient lighting. Bedroom #4 window blind observed to be not in good repair; unable to cover window completely. Bedroom #4 and #5 door does not close properly (stuck unable to shut all the way). BATHROOMS : There are 3 (three) total bathrooms in the facility; 1 (one) is used by staff, one is a private resident bathroom, and 1 (one) is a hallway bathroom designated for shared resident use. Resident restrooms were observed to be equipped with nonskid surfaces and contain nonskid mats. Grab bars were observed in the bathrooms. The water temperature was measured in all bathrooms; and measured in compliance with regulation (112.4*F-115*F). COMMON AREAS : This includes the living room and dining room areas. LPA observed common area to be clean and properly furnished at the time of the visit. Medications are stored in a locked hallway cabinet. KITCHEN : The LPA observed the kitchen to be clean. Kitchen appliances appeared to be in operable condition. The facility has a sufficient supply of seven (7) days non-perishable and two (2) days perishable food. Knives are stored in a locked box in the kitchen.