Pre-licensing visit·October 25, 2022

On 10/25/22, Licensing Program Analyst (LPA) M. Medina conducted an announced Pre-licensing inspection. LPA introduced self, stated the purpose of the visit, and was granted entry into the facility. LPA met with Licensee Grigor Sedrakyan. LPA toured the facility with Licensee. The facility is 4 bedrooms and 2 bathrooms home. Fire clearance was granted for 6 non-ambulatory residents. Common areas were furnished and had adequate seating and lighting available. All bedrooms were observed to have required furnishings. Kitchen was toured and observed to have dishes, plate, and utensils. Facility has 7-day supply of non-perishable food available as of date of inspection. Kitchen has locking cabinet to secure knives and kitchen cleaning supplies. Medications will be kept in locked closet. Cleaning supplies and chemicals were observed to be in a locked in closet near laundry. Fire extinguisher present with a service date of 6/6/22. Smoke detectors and carbon monoxide detectors were observed to be operational during this inspection. Water temperature measured at 72 degrees F. Outside of facility toured. Exits open free of obstruction. Fire exit gate is not self latching. Component III will be conducted during follow-up facility. The following items must be completed prior to applicant meeting all pre-licensing requirements 1) No First Aid kit and no first aid manual on site 2) Fire exit gate is not self-latching and 3) Facility no gas for hot water 4) Facility has no operating phone line. LPA will conduct follow up inspection visit when corrections have been completed. Exit interview conducted and a copy of report provided for facility records.