Routine inspection·October 23, 2025

At 1:15pm, Licensing Program Analyst (LPA) Perchui Milena Khurshudyan arrived at the facility to conduct a required unannounced annual inspection. Upon arrival, LPA met with the Administrator Gayane Aghabekyan who granted access to the facility. LPA explained the reason for the visit. Entrance interview conducted. Today's site visit consisted of LPA touring the physical plant inside and outside and observed the following: Facility maintains a temperature of 73°F. Facility is licensed for capacity of six (6) residents, of which six (6) may be Non-Ambulatory and one (1) bedridden. Facility also has a hospice waiver for five (5) residents. There are four (4) bedrooms designated for resident’s use, and one staff room. LPA observed all bedrooms to be appropriately furnished with a bed, nightstand, a chair, extra linen and have appropriate lighting. The facility also has three (3) bathrooms. LPA observed all bathrooms have soap; paper towels and extra towels and linens were readily available. The hot water temperature measured 117.3F. There are grab bars for each toilet and shower, bathrooms have non-skid mats. All trash cans in bathrooms had fitted lids to protect them from cross contamination. The facility has alarms on all exit doors. At 2:10pm, LPA observed medications, residents and staff files are kept inside the commercial cabinet located in the office area next to the entrance and observed to be inaccessible to residents in care. There is a complete first-aid kit in the cabinet with all required supplies and with the first aid manual. The facility has alarms on all exit doors. Continue on LIC809-C The fire extinguisher is located in the kitchen and was last purchased on 9/2/2025. LPA observed there to be sufficient stock of one-week perishable foods and two-day non-perishable foods. Frozen foods are properly wrapped and stored appropriately. Food storage and preparation areas are clean and inaccessible to pests. Laundry is in a separate locked area located in the patio. The washer/dryer appears to be in good condition. All chemicals and detergents are kept inaccessible to residents in care. Smoke detectors and carbon monoxide monitors were tested and observed to be functional. The back of the facility has sufficient yard space. At 10:05am, LPA observed appropriate outdoor furniture, with a covered shaded area for residents. There is a swimming pool that is fenced all around with a gate that is approximately 5 feet high. You will need a key to gain access to the swimming pool as it is kept locked at all times. LPA discussed the importance of maintaining care and supervision to meet the needs of residents. Between 1:45pm to 3:00pm, LPA reviewed records of five (5) residents and five (5) staff. Resident and staff records appeared to be complete and updated. LPA observed Administrator certificate renewed on 10/1/2026. Annual fee is paid in full. LPA collected Certificate of Liability Insurance, LIC500, and LIC9020. No citations were issued during this visit. Exit interview conducted and copy of this report signed and delivered.