Routine inspection·September 20, 2024

Licensing Program Analyst (LPA) Trevor Byrne arrived at the facility unannounced to conduct a required annual visit at 11:55 AM. LPA met with facility administrator Knarik Davtyan. The facility administrator advised LPA that the facility does not currently have residents. Beginning at 11:56 AM, the LPA along with the facility administrator toured the physical plant areas inside and outside to ensure there are no health and safety hazards and that facility is in compliance with Title 22 Regulations. The following was observed: Fire extinguisher was fully charged and was serviced on 09/01/2023. Combination smoke and carbon monoxide detectors were tested at 12:11 PM and all were functional at the time of the visit. No fire clearance concerns were observed. KITCHEN : The kitchen was observed to be clean. Kitchen appliances appeared to be in operable condition. The facility has a sufficient supply of two (2) days perishable and seven (7) days non-perishable food. LPA observed a secured cabinet to contain knives, lighters, and other sharp objects. LPA observed a secured cabinet designated to store resident medications and 1st aid supplies. COMMON AREAS : This includes the living room and entry area. LPA observed the living room to be clean and properly furnished. Auditory alarms on the exit door to the backyard were functioning at the time of the visit. The living room was observed to contain activities for resident use. The entryway was observed to be clean and contained all requires postings. The entryway contains a fireplace and adequate seating. LPA observed the facility hallway to contain a pantry that contained adequate emergency food supplies. The LPA observed two hallway closets to contain extra linens and space for resident storage. Continued on 809C. BATHROOMS : There are two (2) bathrooms for resident use. One (1) is a shared resident bathroom and one (1) is a private resident bathroom. Restrooms were observed to be equipped with nonskid surfaces and contain nonskid mats. Grab bars were observed in the bathrooms and all were secured at the time of the visit. The water temperature was measured in both restrooms between 111.2 and 112.6 degrees Fahrenheit which is in compliance with regulation. GARAGE: The garage was observed to be appropriately secured. The garage contains adequate emergency water, a washer and dryer, extra care supplies, and appropriately stored cleaning supplies. BEDROOMS : There are four (4) total bedrooms in the facility. Two (2) rooms are designated as dual occupancy rooms and two (2) are single occupancy rooms. Bedroom #1 is designated as the bedridden approved room. Resident rooms were observed to be furnished appropriately with clean linens, appropriate furnishings and sufficient lighting. All resident bedrooms were equipped with emergency flashlights. OUTDOOR SPACE: The backyard has patio furniture including shaded tables and chairs for resident use. The facility has clear passageways for emergency exit use. No bodies of water were noted at the facility. All ramps observed were secured properly and were in good repair. Due to no residents in care no citations were issued. LPA reminded the facility administrator to notify CCL upon the acceptance of their first resident. Exit interview conducted and report was issued.