Routine inspection·November 30, 2022

Licensing Program Analyst (LPA) Ashley Smith arrived at the facility unannounced to conduct a required annual visit at 9:15 a.m. The LPA met with Evelina Papazyan and explained the reason for the visit. The LPA toured the physical plant areas inside and outside to ensure there are no health and safety hazards and facility is in compliance with Title 22 Regulations. KITCHEN: Kitchen appliances were in operable condition. The facility has a sufficient supply of perishable and non-perishable food. The facility obtains food delivery on a regular basis. The menu was posted and the facility offers various options for the residents to choose from. The dining room furniture was observed to be in good condition. BEDROOMS: The LPA observed randomly selected resident rooms, which were furnished appropriately with clean linens, furnishings and sufficient lighting. RESTROOMS: Restrooms are sufficiently stocked with hand liquid soap and paper towels. Appropriate hand washing signs were observed in all common restrooms. Water temperature was taken on the first and third floor in the common restrooms. The hot water measured between 113.7 degrees and 114.5 degrees Fahrenheit. The common restrooms on the second floor were closed for construction, as the toilets were being replaced and walls were being re-painted. COMMON SPACES: Common areas include the dining room, activity room, library, theater room, and patio. The activity calendar was posted in a common area. Activities are offered throughout the day. In the common areas, walls, flooring and furniture were checked for cleanliness and good condition. The fire extinguisher in the hallways were fully charged and was last serviced 2/2022. The emergency systems were checked in 11/2021 by the Los Angeles Fire Department and were deemed operational. At 9:38 a.m., the LPA observed that one (1) out of two (2) elevators was inoperable at the time of the visit; however, a work order was placed to repair the elevator. As stated, there was one working elevator for resident use. At 9:41 a.m., the LPA observed an unlocked supply closet, which stored painting supplies. In addition, painting supplies were stored outside of a resident room, as it was actively being painted. The Administrator was notified, and it was communicated that certain rooms were being remodeled at the time of the visit. These items were secured by the end of the visit. The facility has a courtyard equipped with furniture for resident use. There is a fountain, yet it is drained of water. No additional bodies of water noted. There are laundry areas throughout the facility for resident use. INFECTION CONTROL: There was a central entry point for screening and temperature checks. The LPA was appropriately screened upon entry into the facility. Staff were wearing appropriate face coverings. Infection Control signs were observed at the entrance and throughout the facility. Hand sanitizer was available for resident and staff use. The facility’s cleaning protocol was sufficient. There was record of staff and resident vaccinations, along with record of COVID screenings for staff, residents, and visitors. The LPA discussed changes around testing, visitation and vaccine requirements. At this time, the Administrator continues to conduct surveillance testing of all staff and residents on a bi-weekly basis. The facility's procedures as it pertains to infection control are adequate. Pursuant to Title 22 Division 6 Chapter 8 of the CA Code of Regulations, the following deficiencies were cited (refer to LIC 809-D): Exit interview conducted. Today's reports and appeal rights were reviewed and issued.