Routine inspection·August 12, 2021

At 1:14pm Licensing Program Analysts (LPAs) Angela Panushkina, Melissa Ruiz and Licensing Program Manager (LPM), Nichelle Gylliard conducted an unannounced annual inspection at the above facility. Team met with the caregiver, Polina Mabarian, who granted access to home. This is a 4 bedroom, 1 bathroom, single story family residence that includes a living room, dining area, kitchen, laundry room and attached garage. At approximately, 1:25pm LPA spoke with the Administrator Diana Makaryan over the phone and received a consent to start a tour of the entire facility with the Polina and be able to ask any questions. Infection control: LPA Panushkina reviewed facility mitigation plan (approved on 04/20/21) to make sure licensee was following current infection control recommendations. Upon arrival the team did not observe any COVID-19 signs being posted on the front door. LPA team was screened by the staff, however, the team was not asked any infection control questions. The team had to prompt and guide staff through the screening process. Food Inspection: At 1:30pm the team conducted a food inspection tour an found the following: The facility does have enough sufficient supply of 2 days perishable foods and one week of non-perishable foods. The kitchen knives were observed to be accessible to residents in care. Bedrooms: There are four bedrooms designated for residents' use and have sufficient lighting. All bedrooms are properly furnished, clean and have appropriate bedding and linens. Auditory alarms are in poor repair on a back door. The facility has Dementia residents in care and this poses a potential health and safety risk There is one carbon monoxide detector in the kitchen area. Smoke detectors were checked and are hardwired throughout the facility. Smoke detectors and carbon monoxide are observed to be operational. . Bathrooms: At 1:40pm LPA observed all bathrooms are clean and in good repair. Properly supplied with toilet papers, soap and paper towels. The hot water temperature measured at 111.6F. LPA observed appropriate grab bar and had non-skid mat. LPA observed appropriate hand washing signs posted in each bathroom. Trash can in bathrooms need lids to protect from cross contamination. Common Areas : The facility maintains a comfortable temperature at 75F. The living room and dining area appeared clean and were properly furnished. No obstructions and or tripping hazards throughout the facility. There is a fire extinguisher in the kitchen which was observed to be full. Laundry Area: At approximately, 1:32pm LPA team observed the laundry door unlocked and chemicals and cleaning supplies were accessible to residents in care Surrounding Grounds: LPA toured the outside area of the facility. LPA observed various items stored in the backyard which need to be removed and placed in a storage. There are no bodies of water. Gate was unlocked and easily accessible to open. There is an appropriate shaded and seating area for residents outside. The garage is attached to the home without an excess from the home and is kept locked inaccessible to residents. Medications: At approximately, 1:25pm LPA team observed medications are centrally stored, however the cabinet was not locked and accessible to residents. Administrative: LPA collected Certificate of Liability Insurance, Administrator Certificate and LIC.500. Annual fees are current. Staff on duty has worked for about one months on a relief basis, once a week, and has not been cleared nor associated with the facility. Deficiencies issued per Title 22. Appeal rights issued. Exit interview