Routine inspection·September 30, 2025

Licensing Program Analyst (LPA) Trevor Byrne arrived at the facility unannounced to conduct the annual visit at 02:13 PM. LPA met with facility staff#1 (S1) who contacted the Administrator Naira Badalyan via telephone call. The Administrator was unable to come to the facility during today’s visit. Entrance interview conducted and the reason for the visit was explained. Beginning at 02:15 PM, the LPA, along with S1 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: KITCHEN : The LPA observed the kitchen area 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 lock box to contain knives as well as other sharp objects. LPA observed a cabinet to contain the facility’s complete first aid supplies. LPA observed a wall mounted fire extinguisher to be fully charged and purchased on 07/11/2025. Continued on LIC 809C. COMMON AREAS : This includes the living room, dining area, hallway, and office. LPA observed the living room to be clean and properly furnished at the time of the visit. LPA observed the living room to contain an appropriately screened fireplace, activities for resident use, and a camera. LPA confirmed with the Administrator via telephone call that audio is not recorded. The dining area contained a dining table with adequate seating for resident use. LPA observed a hallway closet to contain extra linens for resident use. LPA observed the office to contain a locked filing cabinet that contained facility files. The facility’s combination fire and carbon monoxide alarms were tested at 02:33 PM and were functional at the time of the visit. GARAGE: LPA observed the garage to contain a washer and dryer, emergency water supplies, and extra care supplies. LPA observed a secured drawer to contain cleaning supplies, pesticides, and laundry detergent. BEDROOMS : There are four (4) bedrooms in the facility; two (2) are dual occupancy rooms and two (2) are single occupancy rooms. LPA and S1 toured all four (4) resident rooms. All resident rooms were observed to be furnished appropriately with clean linens, appropriate furnishings, and sufficient lighting. Bedroom #2 is the bedridden approved room and contains a direct exit to the outdoors of the facility. BATHROOMS : There are two (2) bathrooms at the facility. Both bathrooms are designated as shared resident bathrooms. Both resident bathrooms were observed to be clean and in good repair and were equipped with nonskid surfaces. Grab bars were observed in showers and near toilets, all were properly secured. The water temperature was measured between 105.8 and 108.1 degrees Fahrenheit, which is in compliance with regulation. LPA observed one secured cabinet under a bathroom sink to contain grooming supplies. Continued on LIC 809C. OUTDOOR SPACE: The facility has two (2) emergency exit gates located on either side of the facility; LPA observed clear passageways for emergency exit use. The facility has adequate shaded seating outdoors for resident use. LPA observed an appropriately fenced off pool that was locked and inaccessible to residents in care. Due to time constraints, LPA will return at a later date to conduct Staff and Resident record review, medication review, a review of the facility’s infection control plan and emergency disaster plan, interviews with staff and residents, and to collect copies of pertinent facility documents. No deficiencies were observed during today’s inspection. The Administrator has designated S1 to sign this report on their behalf. Exit interview conducted with S1 and copy of the report was issued.