Pre-licensing visit·April 27, 2026

Licensing Program Analyst (LPA) Trevor Byrne conducted a pre-licensing visit to the above noted facility. The LPA met with applicant, Vahe Hovhan. This is a new facility. A dementia program was included in the plan of operation. A Hospice Waiver has been approved. The facility is a one story home. At 10:17 AM, a physical plant tour was conducted inside and out. An approved fire clearance was received, clearing them for five (5) non-ambulatory residents and one (1) bedridden resident. The facility has three (3) shared resident bedrooms. Bedroom #3 has a direct exit to the outside and is the bedridden approved room. All resident rooms are set up with beds, nightstands, lamps, chests of drawers, chairs and closet space. The beds are furnished with box springs, comfortable mattress and clean linen; which includes, a mattress pad, top and bottom linens, pillowcases, blanket (if needed) and a bedspread. Lighting in the rooms appeared adequate. The bedrooms were large enough to allow for easy passage between the beds and furniture with a wheelchair or walker. In addition, no bedroom was used as a passageway to another room, bath or toilet. There are no staff rooms awake night staff are required. All rooms were free of odors. All window screens were clean and maintained in good repair. There is one (1) bathroom in the hallway and two (2) private bathrooms attached to bedrooms #1 & 3. The resident bathrooms have showers with non-skid materials. The toilets and showers have grab bars. The hot water temperature was tested in the bathrooms and the kitchen and was found to be within the range of 105*F and 120*F. CONTINUED ON LIC 809C. Resident and staff records are stored in a filing cabinet which is currently located in the kitchen. Medications are centrally stored in a locked cabinet in the kitchen. The first aid supplies were complete, including a thermometer and a current version of a first aid manual. They were stored in the kitchen. Knives and other sharp objects are stored in a locked drawer in the kitchen. Stove burners are rendered inaccessible to the residents by removing them when not in use. The supply of dishes, utensils, pots, pans and drinkware is adequat e. T he freezer was not maintained at zero degrees Fahrenheit (0*F) and the refrigerator was not maintained at 40*F. The supply of non-perishable food is adequate. There are no pesticides, poisons, or toxins stored in any food storage area or preparation area with utensils. Appliances in the kitchen were clean and all appeared functional. Kitchen, laundry and house cleaning supplies are stored in a locked cabinet located in the washer/dryer closet. No flies or other vermin were observed. The common areas were appropriately furnished, and the lighting was adequate. There are televisions and other entertainment equipment, games, and activity supplies in the living room and dining area. There was sufficient space to accommodate both indoor and outdoor activities. Night lights were maintained in hallways and passageways to nonprivate bathrooms. Stairways, inclines, ramps and open porches and areas of potential hazard to residents with poor balance or eyesight were made inaccessible to residents unless equipped with sturdy hand railings and unless well-lighted. All ramps were secure and non-slippery and were positioned at the level where wheelchairs and walkers may enter and exit the facility safely. Alarms on all exterior doors were engaged at the time of visit and functional. In addition, the physical plant is consistent with the submitted facility sketch/floor plan. The facility had emergency lighting, which included flashlights and batteries. The facility has a furnace, which is able to heat rooms that residents occupy to a minimum of 68 degrees Fahrenheit; and, they have air conditioning and are able to cool rooms to a comfortable range, not to exceed 85 degrees Fahrenheit. The facility smoke alarm system is hard wired. The smoke detector and carbon monoxide detectors were tested and functioned properly during the time of visit. There is one (1) fire extinguisher throughout the house. It is fully charged and does not exceed the expiration date. CONTINUED ON LIC 809C. Hot water was tested in each bathroom, which included the resident bathrooms and common bathroom, in addition to the kitchen; and, the hot water ranged from 111.9 to 118.0 degrees Fahrenheit. The laundry area is located in a locked hallway closet. The supply of extra bed and bath linens is adequate. There is a functioning telephone on the premises. The emergency exiting plans/sketch are posted in each resident room. The emergency telephone numbers are posted in the dining area along with the other required postings. The exterior passageways were clean and clear of any obstructions. There is a covered patio area at the front of the house with a table and chairs where residents can sit. The entire property is fenced. The gate to the driveway is moved automatically. There is a gate for persons to enter the front yard. There is a property located at the back of the home that has its own address and is not associated with the facility. There are not any bodies of water on the premises at the present time. COMP III orientation was completed with the applicant during this pre-licensing inspection. The following items must be corrected prior to licensure. Submit proof of corrections, along with a copy of this report, to LPA Byrne so that your application may be completed. This report will be sent to the Centralized Application Bureau (CAB) once all corrections are received. 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. 87555 General Food Service Requirements (b) The following food service requirements shall apply: (21) Freezers of adequate size shall be maintained at a temperature of 0 degrees F (-17.7 degrees C), and refrigerators of adequate size shall maintain a maximum temperature of 40 degrees F (4 degrees C). They shall be kept clean and food stored to enable adequate air circulation to maintain the above temperatures.