Pre-licensing visit·May 8, 2026

Licensing Program Analyst (LPA) Brian Balisi conducted a pre-licensing visit to the above noted facility. Upon arrival  LPA met with applicant Margarita Khachatryan. The fire clearance was granted for five (5) non-ambulatory residents and one (1) bedridden resident  on 10/10/2025 . The facility is one story.  At approximately, 10:00 a.m., a physical plant tour was conducted inside and out.  The facility has four (4) private bedrooms and one (1) shared bedroom.  There are no fire sprinklers in the facility. There is a locked closet inaccessible to residents in care. LPA observed Kitchen knives, sharp objects and first aid kit. The first aid supplies were complete, including a thermometer and a current version of a first aid manual. Medications are planned to be stored here as well. The supply of dishes, utensils, pots, pans and drink ware is adequate. The freezer was maintained at zero degrees Fahrenheit (0*F) and the refrigerator was maintained at 40*F.  The supply of nonperishable 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 at the time of the visit. Trash cans had tight fitting lids. No flies or other vermin were observed. All resident rooms are set up with beds, night stands, lamps, chests of drawers, chairs and closet space.  The beds are furnished with comfortable mattress and clean linen, which includes, a mattress pad, top and bottom linens, pillowcases, blanket and a bedspread. Lighting in the rooms appeared adequate.  In addition, no bedroom was used as a passageway to another room, bath or toilet.  There is no staff room at the facility at this time.  All rooms were free of odors. All window screens were clean and maintained in good repair. There is cabinet located in the hallway by room #5 that stored an adequate supply of extra bed and bath linens. There are two (2) bathrooms total. The resident bathroom(s) have a shower with non-skid materials.  The toilet and shower 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 and 120 degrees Fahrenheit. The common areas were appropriately furnished, and the lighting was adequate. Enough seating for residents in care.  There was sufficient space to accommodate both indoor and outdoor activities. There is (1) functioning screened fireplace on site. There is a functioning telephone on the premises.  No obstructions were observed inside or out. The facility has a furnace, which is able to heat rooms that residents occupy to a minimum of 68 degrees Fahrenheit; and, they have central air conditioning and are able to cool rooms to a comfortable range, not to exceed 85 degrees Fahrenheit. The emergency exiting plans/sketch are posted throughout.   The emergency telephone numbers, and other required postings are posted in the common spaces. The smoke detector and carbon monoxide detectors are hard wired, they were tested and functioned properly during the time of visit. Fire extinguishers were observed fully charged and purchased this year. There is an attached garage inaccessible to residents in care. The washer and dryer are located in the garage as well. LPA observed (1) storage cabinet in the garage locked and inaccessible. LPA observed cabinet to store cleaning supplies and other  toxins. The physical layout does not match the submitted facility sketch. The floor plan labels the garage as an “ADU,” but the garage has not been converted at this time. The applicant will submit an updated facility sketch showing the area as a garage, not an ADU. The applicant was advised to notify the department before starting any future ADU conversion and to submit updated facility sketches and documents for a revised fire clearance. The exterior passageways were clean and clear of any obstructions.   There is a covered patio area in the backyard.  The LPA observed appropriate furniture for outdoor use. The outside area was observed to be large enough to conduct outdoor activities. There are (3) storage sheds. LPA observed (2) out of (3) to be empty at this time. (1) shed was observed to contain holiday decorations. The LPA observed one (1) self-latching gate.  There are no bodies of water on the premises at this time. Component III was conducted in conjunction with the visit. 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. No corrections required at this time. Exit interview conducted. Report issued and provided to Applicant.