Routine inspection (multi-day)·October 2, 2024

Licensing Program Analyst (LPA) Trevor Byrne arrived at the facility unannounced to conduct a continuation of the required annual visit at 12:34 PM. LPA met with facility staff who contacted facility administrator Armine Tagaryan. Administrator arrived to the facility at 01:42 PM. Entrance interview conducted and the reason for the visit was explained. During today’s visit LPA conducted a brief physical plant tour, interviews, and medication review. INTERVIEWS: LPA interviewed one (1) resident and two (2) staff between 12:45 PM and 01:05 PM. The resident interviewed stated that the staff are nice and are attentive to their needs. The resident had no concerns with the facility. Both staff members interviewed were knowledgeable on their roles and responsibilities, the resident’s rights, the forms of abuse, and the appropriate reporting procedure for suspected abuse. Both staff interviews were conducted with the assistance of the administrator acting as a translator. MEDICATION REVIEW: Beginning at 01:06 PM LPA and the facility administrator conducted medication review for five (5) of five (5) residents. All medications reviewed were documented properly on their centrally stored medication and destruction record sheet. Medications are stored centrally and securely in a storage cabinet in the staff office. No deficiencies were observed during medication review. No deficiencies were observed during today’s visit. Exit interview conducted and copy of the report was issued.