Routine inspection·August 28, 2025

Licensing Program Analyst (LPA Jose Tan met with Administrator Marine Karapetian for a One (1) Year Required visit for this facility. LPA explained the reason for the visit. A tour of the physical plant was conducted at 9:44 AM and the following was noted: There is only one entrance being utilized at the facility, the front main entrance door. Screening area is located immediately upon entrance. There is also a sign in sheet, hand sanitizer, gloves and masks available. The facility had submitted and approved Mitigation and Infection plan. The facility is a single storey building with shared and private bedrooms and bathrooms. Exit signal alarms were tested and at 10:05 AM and observed to be operational. All indoor and outdoor passageways/exits were free of obstruction. There is no body of water in the facility. The facility maintains a comfortable temperature at 75°F. The facility's smoke alarms are hard wired and interconnected and back up tests are done in house on a regular basis. The facility is equipped with sprinkler system which was last tested on 02/09/24 and valid until 01/31/27. Fire extinguishers are located all throughout the facility and were last serviced on 02/05/25. Fire Drill was last conducted on 08/05/25.. (continued to LIC 809-C) (continued from LIC 9099) Kitchen: The kitchen appeared clean and the appliances and fixtures functional during the time of visit. LPA observed a sufficient supply of perishable and non-perishable food and properly stored at the facility. Knives, cleaning agents, and other potentially hazardous items were locked and inaccessible. Bedrooms: The resident bedrooms were properly furnished with one chair, night stand and sufficient lighting for each resident. The bedrooms had appropriate and adequate bedding and linens such as sheets, pillowcases, mattress pads, and blankets. Bathrooms: LPA observed all bathrooms to be clean, properly supplied and equipped with functional fixtures. LPA observed grab bars and non-skid mats in all bathrooms . Residents have sufficient amounts of supplies for personal hygiene. There are four (4) common shower rooms in the facility, all observed to be clean and in good repair. Hot water was measured in random bathroom at the range of 110.5°F to 118.2°F and observed to be within the required limit. Common Areas : These includes the living room, dining room and outdoor areas. Facility common areas appeared to be clean and appropriately furnished at the time of this visit, no accessible hazards were observed. Medications were observed to be stored in designated Medication room. The Medication room was observed to be locked at the time of visit. There are two (2) sets of first aid kit in the Medication room. Resident/Staff File Review: LPA reviewed records of six (6) random residents and five (5) staff. Resident and staff records appeared to be complete and updated. Laundry room located in the hallway no, 2 observed to be locked during visit. There is no immediate health and safety hazard during this visit. Exit interview conducted. Copy of this report issued,