Routine inspection·March 4, 2026

On 03/04/26, at 09:30am, Licensing Program Analyst (LPA) Gina Saucedo arrived at the facility to conduct an unannounced, annual visit. Victoria Atufula, Caregiver was advised of the visit. Narine Saroyan, Administrator was called and arrived about fifteen(15) minutes later. LPA asked for the census, resident, and staff files. The facility is a one (1) story home that has a total of six (06) bedrooms and four (04) bathrooms. The facility is fire cleared for six (06) non-ambulatory and a hospice waiver for four (04). Last fire drill/Fire Alarms were conducted on 02/2026. The living and dining room are neat and clean. The smoke and carbon monoxide detectors are hardwired, interconnected and observed to be operational. Fire extinguisher is located near the kitchen, observed to be full and last purchased on 03/06/2025. There are cameras in the common areas. Kitchen is sufficiently stocked with at least two (02) days perishable and seven (07) days non-perishable food. Frozen foods are wrapped and stored appropriately. Kitchen cabinets contain extra food. Knives and sharps are observed to be locked and inaccessible to residents in one (1) of the top cabinets. The medication is kept next to the kitchen area locked and inaccessible to the residents in a pantry area. The washer and dryer with toxins are kept in this same area in a pantry area locked and inaccessible to residents. LIC 809C-continued Living Room and Dining Room: LPA observed the living room and furniture to be clean and in good repair. LPA observed the dining area to be clean and in good repair. The dining room area has five (5) chairs for residents and a television. The facility temperature is at 74 degrees Fahrenheit. The fire extinguisher was observed to be fully charged and located in the kitchen area. Bedrooms: Facility has six (6) bedrooms and were toured. The bedrooms are fully furnished with proper lighting and bedding. Two (2) bedrooms are currently empty and three (3) bedrooms are single, occupied and one (1) is shared. Bathrooms: There are four (4) bathrooms that have proper grab bars, non-skid mats. The bathrooms contained a trash can with tight-fitting lid. Three (3) bathrooms are private and the other is in the hallway. Hot water was tested and measured 114F, 113.8F within regulations. Outside/Backyard: There is no garage. There is one (1) shed in the backyard. The outside/backyard has furniture for residents to have proper seating. There is a pool that is not filled and is inaccessible to the residents it is locked. Administrative: The administrative Certification is current and expires 02/14/2028. There is a yes sign, Ombudsman, Personal Rights and Emergency Disaster Plan against the entrance of the facility on your right-hand side. There was no proof of liability insurance. Staff/Resident Files: LPA reviewed five (5) resident files. Four (4) out of the five (5) resident files were missing Physician's signature and diagnosis of resident. LPA reviewed three (3) staff files. Two (2) out of the three (3) files were missing CPR-Cadiopulmonary Resuscitation. An exit interview was conducted, citation(s) were issued, appeals rights and a copy of this report was given to the administrator.