Pre-licensing visit·May 22, 2026

Licensing Program Analyst (LPA) Martha Arroyo conducted a pre-licensing inspection today at 10:00 a.m. Upon arrival, the LPA met with Applicants Quennie Shaikh and Ellen Nahapetyan. The facility is a single-story home with four (4) bedrooms and two (2) bathrooms. All four (4) bedrooms are designated for residents. The facility fire clearance is approved for five (5) non-ambulatory residents and one (1) bedridden resident totaling six (6) residents. Bedroom #4 is bedridden approved and has a direct exit to the outside. A dementia program was included in the plan of operation. The LPA inspected facility for Fire Safety, Personal Accommodations and Services, and Food Service. The combination smoke alarm/carbon monoxide detectors were tested and functioned properly. The LPA observed one (1) fire extinguishers fully charged with attached receipt purchase date 05/21/2026. A physical plant tour was conducted with the applicants. Facility observed clean and in good repair. Facility temperature is at 68 degrees Fahrenheit. All window screens are clean and in good repair. There is appropriate lighting in the facility and in each room. Indoor and outdoor passageways are free of obstruction. The facility has working auditory alarms on all the exits. All required postings observed - Facility Theft and Loss Program, Licensing Complaint Poster, Resident Personal Rights, and Resident Council Rights, and Long Term Care Ombudsman poster are posted. Emergency exiting plans and telephone numbers also observed posted. Report Continued on LIC 809C... Report Continued from LIC 809... Kitchen and dining room floors are clean, sanitary, and odorless. Trash cans have tight fitting covers. Kitchen areas are clean and free of litter, rodents, vermin and insects. There are no pesticides, poisons, or other toxic substances stored in any food storage or preparation area or with utensils. Cleaning supplies are kept in areas separate from food supplies. Cleaning supplies are locked and inaccessible under the kitchen sink. There is a separate food pantry closet for all food supplies. A seven (7) day supply of non-perishable food is present. There are sufficient amounts of tableware, tables, dishes, and utensils. There are sufficient amounts of equipment for the storage, preparation, and service of food. All equipment and dishes observed clean and in good repair. There is a dining area convenient to the kitchen with appropriate dining furniture sufficient for all six (6) residents. The hot water temperature was measured in the kitchen sink, and it measured at 117 degrees Fahrenheit at the time of the visit. Four (4) resident bedrooms observed large enough to allow for easy passage between and comfortable usage of beds and other required items of furniture, and any resident assistant devices such as wheelchairs or walkers. There is a bed for each resident equipped with good springs, clean and mattress, pillow(s), and bedding. There is a chair, nightstand, chest of drawers, sufficient lighting and lamp for each resident. There is sufficient closet and drawer space for each resident. There is a sufficient supply of clean linen, including blankets, bedspreads, top sheets, bottom sheets, pillowcases, and mattress pads. No bedroom was used as a passageway to another room, bath or toilet. No staff bedroom on premises. For Nocturnal Shift, there will be awake night staff only. Bathroom floors are clean, sanitary, and odorless. The hot water temperature is between 105-120 degrees Fahrenheit. All showers and toilets have grab bars. All showers have non-skid mats. All fixtures operate properly. Night lights are present in hallways and bathrooms. There is a sufficient supply of hygiene items such as soap, paper towels, toilet paper, bath towels, hand towels, and wash cloths. Personal hygiene items will be kept locked under the bathroom sink. Medications will be kept in a locked closet adjacent to the kitchen. There is a first aid kit, including sterile dressings, bandages, thermometer, scissors, tweezers, and a current first aid manual. Resident and staff records are to be stored inaccessible in a cabinet adjacent to the living room. Report Continued on LIC 809C... Report Continued from LIC 809C... The common areas were appropriately furnished, and the lighting was adequate. There are games and/or activity supplies in the living room. There was sufficient space to accommodate both indoor and outdoor activities. There is a fireplace in the living room adequately screened. There is an attached garage that is only accessible from the exterior of the home. Garage will be used for storage and kept locked at all times. Laundry closet observed with washer and dryer, sufficient locked storage space for detergents and other hazardous supplies. Laundry closet doors will be locked and inaccessible at all times. There is a covered patio area in the rear of the home with appropriate furniture for outdoor use. The outside area was observed to be large enough to conduct outdoor activities. A locked shed used for storage purposes was observed locked at the time of the visit. The LPA observed two (2) side gates with latching mechanism. The exterior passageways were clean and clear of any obstructions. There were no bodies of water observed at this time. Physical plant is consistent with the submitted facility sketch/floor plan. Applicants completed the Component III Orientation during the visit. No corrections required at this time. This report will be provided 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. A copy of the report was issued.