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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 107209506
Report Date: 01/22/2025
Date Signed: 01/22/2025 01:21:45 PM

Document Has Been Signed on 01/22/2025 01:21 PM - It Cannot Be Edited

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1314 E SHAW AVE
FRESNO, CA 93710
FACILITY NAME:M.A. HOMES FRESNO, INC.FACILITY NUMBER:
107209506
ADMINISTRATOR/
DIRECTOR:		MAKARYAN, HRIPSIMEFACILITY TYPE:
740
ADDRESS:3157 W PICO AVETELEPHONE:
(559) 433-7896
CITY:FRESNOSTATE: CAZIP CODE:
93722
CAPACITY: 6CENSUS: 0DATE:
01/22/2025
TYPE OF VISIT:PrelicensingUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
09:00 AM
MET WITH: Hripsime Makaryan TIME VISIT/
INSPECTION COMPLETED:
01:30 PM
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Licensing Program Analyst (LPA) Katie Brown arrived at the facility to conduct a Pre-Licensing Inspection. LPA met with Administrator (AD) Hripsime Makaryan and Licensee (Lic.) Arthur Arakel.

LPA began the tour by entering through the front door of the 4-bedroom, 2-bathroom, single story home. Required postings were observed properly hung in the living area. Common areas throughout the home were found to be well lit with clear walkways. Furniture was observed to be properly spaced and in good condition. Flooring is intact throughout the home. Smoke and Carbon Monoxide detectors were tested and found to be I working order. The Fire Extinguishers were purchased 11/11/24, receipt was provided for review. LPA observed supply of paper products, bed linens, towels, personal hygiene/grooming products. Both bathrooms are clean, in good repair with faucets delivering hot water at 110 degrees. Bathrooms have grab bars in place as well as slip resistant mats on shower floors.

The kitchen was observed to have a supply of dishes, plates, utensils, and cooking items. Cleaning supplies and chemicals are locked under the sink. Sharps/knives were secured in a kitchen cabinet. Appliances were found to be in working order. LPA observed the required food supply, including separate emergency water and supplies. Resident medications will be stored in a locking kitchen cabinet. The First aid kits contained the required items. Doors and passageways are unobstructed throughout the inside of the home. Room #4 is the designated for a Bedridden resident.

Outside of the facility was toured. There is a covered seating area and a self-releasing gate found to be working properly. Walkways in front and backyards are clear. LPA observed yard tools and gardening supplies to be stored behind a locked fence on the west side of the home. The in-ground pool is well maintained, properly fenced and locked.
SUPERVISORS NAME: Sergiy Pidgirny
LICENSING EVALUATOR NAME: Katie Brown
LICENSING EVALUATOR SIGNATURE: DATE: 01/22/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 01/22/2025
This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)
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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1314 E SHAW AVE
FRESNO, CA 93710
FACILITY NAME: M.A. HOMES FRESNO, INC.
FACILITY NUMBER: 107209506
VISIT DATE: 01/22/2025
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The facilities designated cell phone number is (559) 803-2753 and will be kept in the common area.

Emergency Disaster and Infection Control Plans were reviewed, and COMP III was conducted during this visit with AD and Lic. An exit interview was conducted and a copy of this report was signed and left with AD.

The applicant has met all pre-licensing requirements. LPA will submit documentation to CAB in Sacramento
for final review prior to license being issued.
SUPERVISORS NAME: Sergiy Pidgirny
LICENSING EVALUATOR NAME: Katie Brown
LICENSING EVALUATOR SIGNATURE:

DATE: 01/22/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/22/2025
LIC809 (FAS) - (06/04)
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