Pre-licensing visit·April 24, 2025

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. Report Continued on LIC 809C... Report Continued from LIC 809C... LPA toured the kitchen area at approximately 10:13AM. The hot water temperature was measured in the kitchen sink, and it measured 110.5 degrees Fahrenheit. Appliances and all equipment appear to be clean and in good repair. The kitchen has a sufficient supply of plates, cups, cookware, utensils, and non-perishable foods. Kitchen knives and sharps are locked in a cabinet drawer. LPA observed emergency food and water supply and laundry unit in the kitchen pantry. Additional cleaning supplies, toxins, detergents, disinfectants, and cleaning supplies were stored locked in kitchen cabinets. The living areas and dining areas are clean and properly furnished. All window screens and coverings are in good repair. LPA observed enough seating for six (6) residents at the same time in the dining room table. A working telephone is present. There are activity supplies in the living room. Night-lights were present in the hallways. Medications will be stored and locked in a cabinet in the office area in the living room as well as facility records and First aid kit. First aid kit was observed to have bandages, thermometer, scissors, tweezers and a current first aid manual. There will be no firearms/ammunition stored on the property. The facility has required postings, including Emergency Exit Plan, Licensing Complaint Poster, Resident Personal Rights, and Theft and Loss Policy. The exterior passageways were free of obstructions. Emergency side gate was self-latching. LPA observed a gated and locked pool in the backyard that is inaccessible. LPA observed the backyard, which has a covered outdoor area with a table and chairs for client use. Camera was observed in the outside perimeter only. Auditory exit alarms were functioning properly. Physical plant is consistent with the submitted facility sketch/floor plan. Comp III was conducted with Applicant. Pre-Licensing is complete and this facility has no deficiencies. This report will be sent to the Centralized Application Bureau (CAB). You will be notified by the CAB Analyst when your license has been approved. You are not allowed to begin operating until you have been notified that your license has been approved by the CAB Analyst. Failure to comply could affect approval of your license. Exit interview conducted. The report was reviewed, and a copy was provided.