Routine inspection·February 26, 2024

At 9:45 AM Licensing Program Analyst (LPA), Huma Rahimi, conducted an unannounced annual inspection at the facility mentioned above. LPA met with the staff Anahit Zohrabyan and later Administrator Sofya Khechikyan arrived and explained the reason for the visit. Physical tour was conducted with the Administrator and LPA observed the following: Kitchen: At 10:21 AM LPA toured the kitchen area and observed enough supplies of staple non-perishable for minimum 1 week and perishable for 2 days at the facility. LPA observed multiple scissors in two different drawers of the kitchen unlocked and available to residents in care. Toxin (comet) under the sink cabinet were observed unlocked and accessible to residents in care. Medications: At 10:26 AM LPA observed medications are centrally stored and locked closet in a hallway amongst bedrooms # one (1), and # two (2), and three (3). The locked closet also contained residents and staff files. Additionally, LPA observed over the counter stomach relief medication unlocked and accessible to residents in the kitchen cabinet. Injectable diabetes medications for a resident were observed unlocked in the refrigerator in the kitchen. Bedrooms: The facility has six (6) bedrooms in total. Bedroom # one (1), and bedroom # five (5) are shared. In bedroom # five (5), a relative of the administrator lives who is fingerprint cleared. Bedrooms # two (2), three (3), and four (4) are private. All bedrooms were clean and odorless. Furniture was in good repair. Bedroom #3 was designated for a bedridden resident, and the emergency exit was free from obstruction. One of the bedrooms located near the kitchen is designated for staff and LPA observed free of hazard and obstruction. LPA also observed a scissor in a resident bedroom # four (4). A knife was accessible in a shared bedroom # five (5). Continue on LIC 809C Bathrooms: The facility had 3 bathrooms. Bathrooms #1 and #2 were located at the front. They contained paper towels, liquid soap, and trash cans with tight fitting lids. Bathroom #3 was connected to Bedroom #4. It contained liquid soap, paper towels, a lidless trash can, and a shower with grab bars and a non-skid mat. Hot water temperature measured at 119.3°F. Common Areas : The facility maintains a comfortable temperature at 73°F. The living room and dining area appeared clean and were properly furnished. The living room has a television, comfortable furniture. No obstructions and or tripping hazards throughout the facility. Garage: LPA entered a locked garage and saw more cleaning supplies, hazardous liquids, detergents, extra PPE, and a refrigerator for extra food for staff. Laundry: The laundry is located between the kitchen and garage. LPA observed an unlocked laundry detergent accessible to residents in the laundry room. Staff admitted to LPA that they forgot to lock it away after using it this morning. Outside and Back Yard: LPA toured the two side paths and back yard. Both emergency exit gates were unlocked, and paths were free from debris. LPA observed appropriate outdoor furniture, with a covered shaded area for residents. The back yard contained a gardening space. Smoke detectors/carbon monoxide . Smoke detectors were located throughout the facility, and at 10: 44 AM, they were tested and observed to be operational. Carbon monoxide was living room and was also tested and observed to be operational. LPA heard functioning auditory alarms on all exit doors. Between 12:20 AM to 3:30 AM, LPA reviewed records of six (6) residents and two (2) staff. Residents and staff records appeared to be complete and updated. Deficiencies cited during today’s visit. Appeal rights issued and given. Exit interview conducted and copy of this report signed and delivered. Administrative: LPA collected Certificate of Liability Insurance, and LIC500.