Pre-licensing visit·March 3, 2023

On 3/3/2023, Licensing Program Analyst (LPA) Melissa Ruiz arrived at the facility to conduct an announced Pre-licensing inspection. Upon arrival LPA met with applicant Grigor Kosoyan. The facility will be licensed as a Residential Care Facility for the Elderly. Facility is a single-story house with three (3) bedrooms and two (2) bathrooms. Facility has been approved for a capacity for six (6) clients. The physical plant was toured inside and out at 10:10 a.m. and LPA observed the following: Common Area: LPA observed the living room and furniture to be clean and in good repair. LPA observed the dining area to be clean and in good repair. The air conditioner is operational. No firearms observed or will be maintained on the premises. The smoke alarm and carbon monoxide detector are dual functioning and hard wired throughout the facility. There are various fire extinguishers which were observed to be fully charged. Facility maintains an operational telephone. Kitchen Area: LPA observed the kitchen area to be in good repair and sanitary. A cabinet with a lock will be used to keep sharps locked and inaccessible to residents in care. Medication will also be centrally stored and locked in a kitchen cabinet. Trash containers have tight-fitting lids. Bedrooms: Facility has three (3) bedrooms, two (2). Bedrooms will be shared. and All bedrooms were toured and were observed with the appropriate furniture and bedding and sufficient lighting was observed. Bathrooms: Facility has two (2) bathrooms one of which will be for staff use. Bathrooms were toured and were observed to be clean. LPA observed sufficient towels and wash cloths for residents. Trash cans with lids were observed. Outside: LPA observed a shaded area for residents. Patio furniture was observed with a shaded area. There are no bodies of water. LPA observed a detached garage. Administrative: LPA discussed preplacement staffing, training, customer service, inspection authority, reporting requirements (mandated reporter), records, citations, criminal record clearance, civil penalties, activities, and expectations to follow all rules and regulations. Component III was waived; applicant is already licensed at another facility. This report will be sent to Centralized Application Bureau (CAB). You will be notified by the CAB Analyst when the 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. Report has been signed and delivered. Exit interview conducted.